| Regimental number | 2062 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Porter |
| Address | 57 Albert Street, Wickham, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs H King, 57 Albert Street, Wickham, New South Wales |
| Enlistment date | 19 October 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 1 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 24 September 1918 |