| Regimental number | 19328 |
| Place of birth | Tungamah Victoria |
| Religion | Church of England |
| Occupation | Surgical dresser |
| Address | Tungamah, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs I Pugsley, Tungamah, Victoria |
| Enlistment date | 12 September 1917 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on 25 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 25 February 1918 |
