| Regimental number | 4416 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Ambulance officer |
| Address | Darley Road, Randwick, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Annie M V Lambert, Darley Road, Randwick, New South Wales |
| Enlistment date | 2 May 1915 |
| Date of enlistment from Nominal Roll | 16 March 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | No 3 Australian General Hospital |
| Fate | Returned to Australia 2 September 1916 |
