| Regimental number | 9982 |
| Religion | Church of England |
| Occupation | Conductor |
| Address | Wayville, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J M Kirk, 38 Young Street, Wayville, South Australia |
| Enlistment date | 8 June 1915 |
| Date of enlistment from Nominal Roll | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Stationary Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 31 January 1918 |
