| Regimental number | 17242 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Student |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Hoare, Park Street, Ipswich, Queensland |
| Enlistment date | 29 September 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 31 January 1918 |