| Regimental number | 14442 |
| Place of birth | Townsville Queensland |
| Religion | Salvation Army |
| Occupation | Ambulance bearer |
| Address | Brisbane South, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs A Owens, Guly Street, Brisbane South, Queensland |
| Enlistment date | 19 June 1916 |
| Date of enlistment from Nominal Roll | 19 July 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 Brisbane, Queensland, on board HMAT A50 Itonus on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 May 1917 |
