| Regimental number | 13635 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kin Kin, via Cooran, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Miss L Plumley, 14 Springvale Road, Green Lane, Stoke Newington, London, England |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Sanitary Section |
| Fate | Returned to Australia 23 July 1919 |
| Date of death | 1 September 1962 |
| Place of burial | Mt Thompson Crematorium |