| Regimental number | 19627 |
| Religion | Church of England |
| Occupation | Banker |
| Address | West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs G M Robertson, 116 Charles Street, West Perth, Western Australia |
| Enlistment date | 1 August 1917 |
| Date of enlistment from Nominal Roll | 21 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Canberra on 23 November 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Returned to Australia 1 August 1919 |
