| Regimental number | 19226 |
| Place of birth | Somerset England |
| Religion | Church of England |
| Occupation | Farm assistant |
| Address | Relbia, Tasmania |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M E Bird, Stoke, Claremont, Tasmania |
| Enlistment date | 20 November 1916 |
| Date of enlistment from Nominal Roll | 28 October 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 13 July 1919 |
