| Regimental number | 13969 |
| Place of birth | South Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Salesman |
| Address | Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs A Pratt, 173 Nelson Road, Albert Park, Victoria |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 17 August 1916 |