| Regimental number | 76A |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 616 Skipton Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs R Hooley, 616 Skipton Street, Ballarat, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | MED26.65.2R.A |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia |