| Regimental number | 17030 |
| Place of birth | McDonaldtown New South Wales |
| Religion | Presbyterian |
| Occupation | Telephone mechanic |
| Address | Burwood, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs B J Beveridge, 'Brooklyn', Burwood Road, Burwood, New South Wales |
| Enlistment date | 27 March 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 20 June 1919 |
