| Regimental number | 12750 |
| Place of birth | Teddington England |
| Religion | Church of England |
| Occupation | Porter, S A R |
| Address | 43 Huntriss Street, Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Pilcher, 43 Huntriss Street, Torrensville, South Australia |
| Enlistment date | 24 November 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 16 March 1919 |
