| Regimental number | 8494 |
| Place of birth | Young New South Wales |
| Religion | Methodist |
| Occupation | Ironmoulder |
| Address | 15 Nicholson Street, East Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Clara Kittelty, 15 Nicholson Street, East Ballarat, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 13th Reinforcement |
| AWM Embarkation Roll number | 26/41/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |