| Regimental number | 19210 |
| Place of birth | Penshurst Vic |
| Religion | Church of England |
| Occupation | Assayer |
| Address | Hester, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs E Howells, Hobart Street, Mount Hawthorn, Western Australia |
| Enlistment date | 24 July 1917 |
| Date of enlistment from Nominal Roll | 18 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on 23 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |