| Regimental number | 17639 |
| Place of birth | Carlton Victoria |
| Religion | Methodist |
| Occupation | Stationer |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A Powell, 'Charlton', Arthurton Road, Northcote, Victoria |
| Enlistment date | 28 February 1914 |
| Date of enlistment from Nominal Roll | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 21 June 1919 |
