| Regimental number | 9960 |
| Religion | Methodist |
| Occupation | Boilermaker |
| Address | Campsie, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E M Langford, Beaumont Street, Campsie, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/66/3 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia |