| Regimental number | 12005 |
| Place of birth | Cheltenham England |
| Religion | Church of England |
| Occupation | Tram driver |
| Address | Daceyville, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Evelyn Mary Lowe, 1 Bourke Crescent, Daceyville, New South Wales |
| Enlistment date | 7 October 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section A |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 24 January 1919 |
