| Regimental number | 19049 |
| Place of birth | Devonshire England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M A Lee, c/o Mrs T Jones, Alice Street, Harris Park, Parramatta, New South Wales |
| Enlistment date | 18 June 1917 |
| Date of enlistment from Nominal Roll | 2 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A72 Beltana on 19 January 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Effective abroad (still overseas) |
