| Regimental number | 61643 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Moland House, Queen's Parade, Clifton Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs R E Lancaster, Moland House, Queen's Parade, Clifton Hill, Victoria |
| Enlistment date | 13 May 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
