| Regimental number | 9765 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs E E Maitland, 11 Andreas Street, Petersham, New South Wales |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 16 |
| AWM Embarkation Roll number | 26/44/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 5 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 12 May 1919 |
