| Regimental number | 5416 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 10 Little Buckingham Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs F Baxter, 10 Little Buckingham Street, Sydney, New South Wales |
| Enlistment date | 18 April 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 9 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 21 January 1916 |
