| Regimental number | 12695 |
| Place of birth | Glenelg South Australia |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | 10 Durham Street, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs B W Owst-Atkinson, 10 Durham Street, Glenelg, South Australia |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 5 July 1919 |
