| Regimental number | 13319 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E Martin, 171 Clarendon Street, South Melbourne, Victoria |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 May 1919 |