| Regimental number | 89 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'The Cedars', Maryland, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Nephew, Rudolph Stafford, Tepney Grove, Luxmore Road, Waltham, Liverpool, England |
| Enlistment date | 6 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | no 1 Hen Hosp |
| Fate | Returned to Australia 4 November 1915 |