| Regimental number | 63953 |
| Place of birth | Balaklava South Australia |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Parkside, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs R Lapley, 19 Park Terrace, Parkside, South Australia |
| Enlistment date | 5 September 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Boonah on 29 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 18 January 1919 |