| Regimental number | 1105 |
| Place of birth | Port Darwin, Northern Territory |
| Religion | Church of England |
| Occupation | Land broker |
| Address | 217 Jeffcott Street, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Arthur George de la Poer Beresford, 217 Jeffcott Street, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |