| Regimental number | 17415 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Glanville, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E E Kimpton, Sandelands Road, Fulham, England |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Effective abroad (still overseas) |
