| Regimental number | 14940 |
| Date of birth | 5 July 1895 |
| Place of birth | Peterborough, South Australia |
| School | Peterborough Public School, South Australia |
| Religion | Church of England |
| Occupation | Lead burner |
| Address | Petersburg, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J Mitchell, Victoria Street, Petersburg, South Australia |
| Previous military service | 81st Infantry |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on 23 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |
| Discharge date | --/03/1920 |
| Other details | War service: France, Belgium |
