| Regimental number | 8190 |
| Place of birth | Prahran Victoria |
| Religion | Church of England |
| Occupation | Coach painter |
| Address | 28 Johns Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, A Lavers, 28 Johns Street, St Kilda, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 2 Australian General Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |