| Regimental number | 63937 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Driver |
| Address | Walkerville, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs Mary Hickman, Torrens Street, Hindmarsh, South Australia |
| Enlistment date | 5 October 1914 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Boonah on 8 February 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 14 November 1916 |
