| Regimental number | 5011 |
| Place of birth | York England |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | 17 Jersey Road, Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E Pickard, c/o Miss McKidd, The Cottage, Cherry Street, Barraba, New South Wales |
| Enlistment date | 25 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 1 Hospital Ship 'Karoola' |
| Fate | Effective abroad (still overseas) |
