| Regimental number | 17417 |
| Place of birth | Cressy Victoria |
| Religion | Presbyterian |
| Occupation | Presbyterian missioner |
| Address | Lucindale, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, A Nelson, P O Glydale, Weering, Colac, Victoria |
| Enlistment date | 13 October 1916 |
| Date of enlistment from Nominal Roll | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 6 September 1919 |
