| Regimental number | 14614 |
| Place of birth | Manchester England |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Chicago, South Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs E Nuttall, Hihen Limes, Waterfoot, Manchester, Lancashire, England |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 3 Australian General Hospital |
| Fate | Returned to Australia 19 June 1919 |