| Regimental number | 13169 |
| Place of birth | Fremantle Western Australia |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Kurrawang, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs B Kett, Kurrawang, Western Australia |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 1 June 1919 |
