| Regimental number | 69156 |
| Place of birth | Garvoc Victoria |
| Religion | No religion |
| Occupation | Farmer |
| Address | 20 Aberdeen Road, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Friend, Mrs E Clow, 20 Aberdeen Road, Prahran, Victoria |
| Enlistment date | 30 August 1918 |
| Date of enlistment from Nominal Roll | 14 August 1917 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
