| Regimental number | 17636 |
| Place of birth | Alexander Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Armadale, Victoria |
| Marital status | Married |
| Age at embarkation | 20 |
| Next of kin | Wife, Mrs E E McIntyre, 3 Irving Avenue, Armadale, Victoria |
| Enlistment date | 27 July 1914 |
| Date of enlistment from Nominal Roll | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Driver |
| Fate | Returned to Australia 2 January 1919 |
| Miscellaneous details (Nominal Roll) | 5th Field Company Engineers |
