| Regimental number | 8814 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Upholsterer |
| Address | Railway Hotel, Northampton, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs May Lee, Railway Hotel, Northampton, Western Australia |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 14 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 May 1917 |
