| Regimental number | 1240 |
| Place of birth | Ipswich England |
| Religion | Church of England |
| Occupation | Chemist |
| Address | 88 High Street, Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Elizabeth Whittaker Ann Kirton, GPO Kalgoorlie, Kalgoorlie, Western Australia |
| Enlistment date | 11 September 1914 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2, Reinforcement 1 |
| AWM Embarkation Roll number | 26/71/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HOSPITAL SHIP A55 Kyarra on 14 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia 11 April 1916 |