| Regimental number | 4883 |
| Religion | Church of England |
| Occupation | Hospital orderly |
| Address | Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, T Randall, Buxton, Kent, England |
| Enlistment date | 18 June 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 May 1919 |