| Regimental number | 12667 |
| Place of birth | Wolseley South Australia |
| Religion | Church of Christ |
| Occupation | Carpenter |
| Address | Robert Street, Croydon Park, Kilkenny, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Grace Richardson, Robert Street, Croydon Park, Kilkenny, South Australia |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Regimental number from Nominal Roll | Commissisoned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 4 June 1919 |
