| Regimental number | 9736 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Benalla, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs S A Hiscock, Benson Street, Benalla, Victoria |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Casualty Clearing Station, 4th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 21 March 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
