| Regimental number | 120 |
| Place of birth | Brunswick Vic |
| Religion | Church of England |
| Occupation | Student |
| Address | Castlemaine, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, F House, Castlemaine, Victoria |
| Previous military service | M U Rifles |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mooltan on 18 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 12 December 1915 |
