| Regimental number | 17355 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Optician |
| Address | Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A Dance, Katanning, Western Australia |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 19 June 1919 |
| Date of death | 27 June 1969 |
| Place of burial | Springvale Cemetery |
