| Regimental number | 14077 |
| Place of birth | Northampton England |
| Religion | Church of England |
| Occupation | Hospital dresser |
| Address | 547 King Street, West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Jeffs, 547 King Street, West Melbourne, Victoria |
| Enlistment date | 12 April 1916 |
| Date of enlistment from Nominal Roll | 21 April 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 3 July 1919 |
