| Regimental number | 4216 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Draughtsman |
| Address | 'Nandi', Stanley Street, Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss G McClure, 'Nandi', Stanley Street, Randwick, New South Wales |
| Enlistment date | 19 April 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, 8th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 12 July 1919 |