| Regimental number | 1340 |
| Religion | Roman Catholic |
| Occupation | Steward |
| Address | 495 Hay Street, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Lilian Bastow, 495 Hay Street, Perth, Western Australia |
| Enlistment date | 8 September 1914 |
| Rank on enlistment | Batman |
| Unit name | Field Ambulance 4, Section C |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A31 Ajana on 30 December 1914 |
| Fate | No details of fate entered on Nominal Roll |
