| Regimental number | 13873 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Stanmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Rawlins, 'Dundee', 61 Salisbury Road, Stanmore, New South Wales |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 21 June 1919 |
