| Regimental number | 14436 |
| Place of birth | Toowoomba Queensland |
| Religion | Methodist |
| Occupation | Machinist |
| Address | Klein Street, Toowomba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Martha Beasant, Klein Street, Toowomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.40.3R19 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia |