| Regimental number | 159 |
| Place of birth | Parkside South Australia |
| Religion | Church of England |
| Occupation | Cabinetmaker |
| Address | Stanmore, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Christina Impett, Glandore, South Australia |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 21 March 1915 |
| Date of death | 17 November 1967 |
| Place of burial | Centennial Park Cemetery |
