| Regimental number | 6058 |
| Place of birth | Melbourne Vic |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | 25 Woodside Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, S Shugg, 25 Woodside Street, North Fitzroy, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Makarini on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |