| Regimental number | 8074 |
| Religion | Church of England |
| Occupation | Chemist's assistant and dispenser |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Jones, 51 East Avenue, Port Madoc, Wales |
| Enlistment date | 22 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
