| Regimental number | 14008 |
| Place of birth | Ballarat Victoria |
| Religion | Presbyterian |
| Occupation | Packer |
| Address | 77 Main Street, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs K Myers, 77 Main Street, Ballarat East, Victoria |
| Previous military service | 70th Infantry |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 7 July 1919 |
