| Regimental number | 15814 |
| Place of birth | West Maitland New South Wales |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Hurstville, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs K Ingram, Kenwyn Street, Hurstville, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 2 March 1919 |
