| Religion | Church of England |
| Occupation | Mental nurse and clerk |
| Address | Hospital, Goodna, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |