| Regimental number | 17379 |
| Place of birth | Ascot Vale Victoria |
| Religion | Methodist |
| Occupation | Sawyer |
| Address | Thornbury, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E M Mabbett, 46 Rossmoyne Street, Thornbury, Victoria |
| Enlistment date | 1 March 1916 |
| Date of enlistment from Nominal Roll | 29 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia 15 June 1919 |
