| Regimental number | 19114 |
| Place of birth | Ararat Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ararat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M Ord, Grano Street, Ararat, Victoria |
| Enlistment date | 22 June 1917 |
| 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 HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 23 July 1919 |
