| Regimental number | 1369 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Vanman |
| Address | Boyanup, Denninup, via Bridgetown, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Harriet Beatty, Boyanup, Denninup, via Bridgetown, Western Australia |
| Enlistment date | 22 September 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section C |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A31 Ajana on 30 December 1914 |
| Fate | No details of fate entered on Nominal Roll |
