| Regimental number | R8096 |
| Religion | Church of England |
| Occupation | Fitter |
| Address | South Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs A F Pascoe, Ottewell Street, South Goulburn, New South Wales |
| Enlistment date | 2 March 1917 |
| Date of enlistment from Nominal Roll | 27 June 1915 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 November 1917 |
