| Regimental number | 19110 |
| Place of birth | Williamstown Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss E S Kerr, 24A Droop Street, Footscray, Victoria |
| Enlistment date | 12 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 3 September 1919 |
