| Regimental number | 16172 |
| Place of birth | Hobart Tasmania |
| Religion | Presbyterian |
| Occupation | Chemist |
| Address | Beechworth, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs J C MacGillivray, Maffra, Private Hospital, Maffra, Victoria |
| Enlistment date | 11 August 1915 |
| Date of enlistment from Nominal Roll | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 10 September 1917 |
