| Regimental number | 9637 |
| Place of birth | Warrnambool Vic |
| Religion | Baptist |
| Occupation | Carpenter |
| Address | 88 Cross Street, West Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr Helmore, 88 Cross Street, West Footscray, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 10 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 22 May 1919 |
