| Regimental number | 13461 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Mariner |
| Address | Knightsbridge, South Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs T John, Rochester Street, Knightsbridge, South Australia |
| Enlistment date | 16 June 1916 |
| Date of enlistment from Nominal Roll | 16 January 1916 |
| Rank on enlistment | Private |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia 23 July 1919 |