| Regimental number | 6013 |
| Place of birth | Port Augusta South Australia |
| Religion | Methodist |
| Occupation | Student |
| Address | Hume Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, E Martin, Hume Street, Toowoomba, Queensland |
| Previous military service | 24th Australian Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |