| Regimental number | 363A |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 25 Nowram Street, Summer Hill, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Mrs A Jones, 25 Nowram Street, Summer Hill, Sydney, New South Wales |
| Enlistment date | 25 August 1914 |
| Rank on enlistment | PTE (AAMC) |
| Unit name | 4th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board TRANSPORT A14 Euripides on 20 October 1914 |
| Regimental number from Nominal Roll | 363 |
| Rank from Nominal Roll | Private (Australian Army Medical Corps) |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 29 July 1915 |
