| Regimental number | 61652 |
| Place of birth | Coleraine Victoria |
| Religion | Church of England |
| Occupation | Druggist, warehouse |
| Address | Cape Street, Heidelberg, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A H Medley, Cape Street, Heidelberg, Victoria |
| Enlistment date | 17 May 1918 |
| Rank on enlistment | Private |
| Unit name | 12th 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 Service Corps Details |
| Fate | Effective abroad (still overseas) |
