| Regimental number | 5000 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Taunton, Victoria Avenue, Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs S A Lang, Taunton, Victoria Avenue, Chatswood, New South Wales |
| Enlistment date | 23 June 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 5 January 1919 |