| Regimental number | 13170 |
| Place of birth | Kalgoorlie Western Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | West Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W Lord, 14 Emerald Hill Terrace, West Perth, Western Australia |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Motor Transport Section |
| Fate | Returned to Australia 5 September 1919 |