| Regimental number | 4741 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Charlton Street, Exeter, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Kitti Le Len, Charlton Street, Exeter, South Australia |
| Enlistment date | 11 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 20 May 1919 |
