| Regimental number | 9200 |
| Place of birth | Trentham Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 16 Ethel Street, Thornbury, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Minnie Pearson, 16 Ethel Street, Thornbury, Victoria |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st D Hosp |
| Fate | Returned to Australia 20 June 1919 |