| Regimental number | 21 |
| Place of birth | Richmond New South Wales |
| Religion | Church of England |
| Occupation | Coach painter |
| Address | March Street, Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | H H Hill, March Street, Richmond, New South Wales |
| Enlistment date | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on 23 September 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 30 August 1918 |
| Miscellaneous details (Nominal Roll) | LH |
