| Regimental number | 18753 |
| Place of birth | London England |
| Religion | Presbyterian |
| Occupation | Hairdresser |
| Address | Korumburra, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, M Pam, 100 Clark Street, Stepney, London, England |
| Enlistment date | 24 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Discharged 17 March 1919 |
