| Regimental number | 14658 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Barman |
| Address | St George's Terrace, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, J Bailey, Commercial Travellers' Club, Perth, Western Australia |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 4 January 1919 |
| Date of death | 9 November 1957 |
| Place of burial | Mundaring Cemetery |