| Regimental number | 10296 |
| Place of birth | Camden New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Camden, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M. Nethery, Camden, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, April 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |