| Regimental number | 6421 |
| Religion | Church of Christ |
| Occupation | Druggist's assistant |
| Address | Bridgewater, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs N Ashurst, Bridgewater, South Australia |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 12 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT HMS Malwa on 2 December 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board TRANSPORT HMS Mongolia on 22 November 1915 |
| Fate | No details of fate entered on Nominal Roll |
