| Regimental number | 38I7 |
| Religion | Church of England |
| Occupation | Hospital wardsman |
| Address | Lidcombe Hospital, Lidcombe, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | friend, Nurse Walker, Lidcombe Hospital, Sydney, New South Wales |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Mooltan on 11 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 10 July 1916 |