| Regimental number | 18711 |
| Place of birth | Williamstown Vic |
| Religion | Church of England |
| Occupation | Traveller |
| Address | South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs M Howarth, 1 Fishley Street, South Melbourne, Victoria |
| Enlistment date | 30 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Effective abroad (still overseas) |
