| Regimental number | 4853 |
| Religion | Church of England |
| Occupation | Lineman |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs I Hitchman, 1 Poplar Cottage, Bouchurch, Isle of Wight, England |
| Enlistment date | 20 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 | 1st Australian General Hospital |
| Fate | Returned to Australia 28 March 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
