| Regimental number | 17627 |
| Place of birth | Norwich England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Westgarth, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Hunt, New Buckingham, Attleborough, Norfolk, England |
| Enlistment date | 28 March 1916 |
| Date of enlistment from Nominal Roll | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 24 August 1918 |