| Regimental number | 17238 |
| Place of birth | Maryborough Queensland |
| Religion | Presbyterian |
| Occupation | Draper |
| Address | Newtown, Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Robertson, Coventry Street, Newtown, Maryborough, Queensland |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 19 October 1918 |
