| Regimental number | 17512 |
| Place of birth | Wallaroo South Australia |
| Religion | Methodist |
| Occupation | Grocer |
| Address | New Farm, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M P Lands, Hampstead Road, Highgate Hill, Brisbane, Queensland |
| Enlistment date | 26 June 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 8 July 1919 |
