| Regimental number | 3307 |
| Place of birth | Creswick Vic |
| Religion | Methodist |
| Occupation | Sawyer |
| Address | Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | H J Bourne, 18 Westbourne Street, East Prahran, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.49.1SECTIONB |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia |