| Regimental number | 17649 |
| Place of birth | Bairnsdale Vic |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sale, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Hebbard, Pearson Street, Sale, Victoria |
| Enlistment date | 30 March 1916 |
| Date of enlistment from Nominal Roll | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 22 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Field Ambulance |
| Fate | Returned to Australia 4 July 1919 |