| Regimental number | 61190 |
| Place of birth | Swan Hill Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 254 Dandenong Road, East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs R Mason, 254 Dandenong Road, East St Kilda, Victoria |
| Enlistment date | 16 April 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
