| Regimental number | 2735 |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | P O Port Adelaide, Port Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Lucy Marie Johns, P O Port Adelaide, Port Adelaide, South Australia |
| Previous military service | 76th Infantry |
| Enlistment date | 25 February 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Fate | No details of fate entered on Nominal Roll |
