| Regimental number | 9155 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Cora Lynn, Bunnerong Road, Kensington |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs Iva Irene Hickson, Cora Lynn, Bunnerong Road, Kensington |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 8 May 1919 |
