| Regimental number | 4919 |
| Place of birth | Cambridge England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs L Hewitt, West Mooreville Road, Burnie, Tasmania |
| Enlistment date | 13 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 9 February 1915 |
