| Regimental number | 1105 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Marine engineer |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | G Rogers, Denman Drive, Newsham Park, Liverpool, England |
| Enlistment date | 8 September 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 1st Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Regimental number from Nominal Roll | R1105 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Railway Company |
| Fate | Returned to Australia 19 April 1919 |
