| Regimental number | 2042 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | 'Killaberry', Yarra Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs S Jullyan, 'Killaberry', Yarra Street, Geelong, Victoria |
| Enlistment date | 17 September 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Regimental number from Nominal Roll | 2027 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 8 October 1918 |
