| Regimental number | 16776 |
| Place of birth | Croydon England |
| Religion | Church of England |
| Occupation | Tram guard |
| Address | Southdown, Wyee, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Ethel Meaton, Southdown, Wyee, New South Wales |
| Enlistment date | 23 March 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 25th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A53 Itria on 28 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Sanitation Section |
| Fate | Returned to Australia 16 March 1919 |