| Regimental number | 16077 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Mental nurse |
| Address | Ipswich, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E H Poulton, Sandy Gallop, Ipswich, Queensland |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 13 April 1919 |
