| Regimental number | 16090 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Gregory Terrace, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs S M Marriott, Victoria Street, Gregory Terrace, Queensland |
| Enlistment date | 10 October 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 22 December 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |