| Regimental number | 19727 |
| Place of birth | Nyngan New South Wales |
| Religion | Presbyterian |
| Occupation | Shop assistant |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Mitchell, 12 Waverley Crescent, Waverley, New South Wales |
| Enlistment date | 24 August 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 3 July 1919 |
