| Regimental number | 9994 |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E Manchester, 215 Pier Street, Perth, Western Australia |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian Stationary Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Stationary Hospital |
| Fate | Returned to Australia 12 October 1916 |
