| Regimental number | 10135 |
| Religion | Church of England |
| Occupation | Milk tester |
| Address | Dennington, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs H M Proctor, c/o Mrs Crump, Yarra Street, Alphington, Victoria |
| Enlistment date | 30 August 1915 |
| Date of enlistment from Nominal Roll | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Casualty Clearing Station, 5th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 13 September 1915 |
