| Regimental number | 17837 |
| Place of birth | Condobolin New South Wales |
| Religion | Church of England |
| Occupation | Clerk in holy orders |
| Address | Condoblin, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs E Boulton, 'Maplemore', Napier Street, Condobolin, New South Wales |
| Enlistment date | 10 July 1916 |
| Date of enlistment from Nominal Roll | 3 June 1916 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 28 March 1919 |
