| Regimental number | 19579 |
| Place of birth | Bedford England |
| Religion | Church of England |
| Occupation | Theological student |
| Address | Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Friend, Rev John Good, St Jude's Vicarage, Carlton, Victoria |
| Enlistment date | 14 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
