| Regimental number | 5053 |
| Place of birth | Binda New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Manildra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr Robertson, Royal Hotel, Manildra, New South Wales |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | Staff for No.1 Hospital Ship 'Karoola' |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board No 1 Hospital Ship Karoola on 18 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |
