| Regimental number | 20559 |
| Place of birth | Mount Gambier South Australia |
| Religion | Presbyterian |
| Occupation | Upholsterer |
| Address | Millicent, South Australia |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs I M Lawrence, Millicent, South Australia |
| Previous military service | 74th Infantry |
| Enlistment date | 27 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 8 September 1919 |