| Regimental number | 9839 |
| Religion | Methodist |
| Occupation | Warehouseman |
| Address | 75 Hay Street, Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M E Menkins, 75 Hay Street, Subiaco, Western Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 16 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 17 June 1918 |
