| Regimental number | 126A |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A Laity, 93 Hamlet Street, Bendigo, Victoria |
| Enlistment date | 1 December 1914 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Regimental number from Nominal Roll | 126 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 26 November 1918 |
