| Regimental number | 3657 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide GPO, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs Howe, P O Port Adelaide, Port Adelaide, South Australia |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 7, Field Ambulance 7, Section B |
| AWM Embarkation Roll number | 26/50/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Clan Mcewan on 28 June 1915 |
| Fate | No details of fate entered on Nominal Roll |
