| Regimental number | 16408 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Wardsman |
| Address | Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Mrs S Gilbert, 238 Rotherithe New Road, Bermondsey, London, England |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 18 July 1919 |
