| Regimental number | 21845 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Dental student |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs L A Rheuben, Arcadia Magnetic Island, Townsville, Queensland |
| Previous military service | 3rd Battalion 49th Infantry |
| Enlistment date | 12 October 1918 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic Recalled on 2 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |