| Regimental number | 9813 |
| Place of birth | Bowden South Australia |
| Religion | Protestant |
| Occupation | Engine driver |
| Address | Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs M J P Lawrence, 25 Wall Street, Norwood, South Australia |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 16 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Effective abroad (still overseas) |
