| Regimental number | 16777 |
| Place of birth | Norwood South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Knightsbridge, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs H Middleton, 'Montrose', Tusmore Avenue, Knightsbridge, South Australia |
| Enlistment date | 16 January 1917 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 12 May 1918 |