| Regimental number | 16930 |
| Place of birth | Toorak Victoria |
| Religion | Church of Christ |
| Occupation | Clerk |
| Address | Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Hannah Kirk, 27 Hunter Street, Richmond, Victoria |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 26 July 1919 |