| Regimental number | 19050 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | Assistant chemist |
| Address | Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss G Mansfield, Prince Street, Grafton, New South Wales |
| Enlistment date | 6 June 1917 |
| Date of enlistment from Nominal Roll | 24 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 18 July 1919 |
