| Regimental number | 4011 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Engineer |
| Address | 35 Cook Road, Centennial Park, New South Wales |
| Marital status | Widower |
| Age at embarkation | 33 |
| Next of kin | Daughter, Miss M L Rodgers, 35 Cook Road, Centennial Park, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 6 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan Mcewen on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Age at death | 73 |
| Place of burial | Northern Suburbs Crematorium, Sydney, New South Wales |