| Regimental number | 17628 |
| Place of birth | Isle of Wight, England |
| Religion | Church of England |
| Occupation | Farm employee |
| Address | Yarrawonga, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs E Jones, 'Riverslea', Yarrawonga, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |