| Place of birth | Woodend Victoria |
| Religion | Church of England |
| Occupation | Area Officer |
| Address | Area Office, Boulder, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Harriett Lavinia Long, 18 Farnley Street, Mount Lawley, Perth, Western Australia |
| Enlistment date | 23 March 1916 |
| Rank on enlistment | Lieutenant |
| Unit name | 16th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 10 March 1918 |
