| Regimental number | 21070 |
| Place of birth | Wallsend New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Wallsend, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs S Oliver, Hope Street, Wallsend, New South Wales |
| Enlistment date | 21 October 1918 |
| Date of enlistment from Nominal Roll | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Regimental number from Nominal Roll | 515 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 5 November 1917 |
