| Regimental number | 8785 |
| Place of birth | Mabern South Australia |
| Religion | Church of England |
| Occupation | Store assistant |
| Address | Henley Beach Road, Lockleys, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Lenora Kellett, Henley Beach Road, Lockleys, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 14 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |