| Regimental number | 14618 |
| Place of birth | Keyneton Victoria |
| Religion | Methodist |
| Occupation | Home missionary |
| Address | Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs T Odgers, Bromide Street, Broken Hill, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 13 February 1917 |