| Regimental number | 6013 |
| Religion | Methodist |
| Occupation | Student |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Martin, Hume Street, Toowoomba, Queensland |
| Previous military service | 24th Australian Army Medical Corps |
| Enlistment date | 21 July 1915 |
| Date of enlistment from Nominal Roll | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 29 May 1919 |