| Regimental number | 579 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 4A Newton Road, Cricklewood, London, England |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Aunt, Mrs Harriett Reid, 4A Newton Road, Cricklewood, London, England |
| Enlistment date | 6 February 1915 |
| Rank on enlistment | Private |
| Unit name | MED26.40.2R4 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Field Ambulance |
| Fate | Returned to Australia 15 August 1915 |
| Date of death | 15 September 1965 |
| Age at death | 71 |
| Place of burial | Springvale Cemetery, Victoria |