| Regimental number | 17910 |
| Place of birth | Malmsbury Victoria |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H Mellor, 68 Waterloo Road, Northcote, Victoria |
| Previous military service | 14th Australian Army Medical Corps |
| Enlistment date | 12 May 1916 |
| Date of enlistment from Nominal Roll | 1 April 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 4 July 1919 |
