| Regimental number | 19555 |
| Place of birth | North Melbourne Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs E E Marshall, 56 Freeman Street, North Fitzroy, Victoria |
| Enlistment date | 4 October 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Fate | No details of fate entered on Nominal Roll |
