| Regimental number | 19567 |
| Place of birth | Yarraville Victoria |
| Religion | Seventh Day Adventist |
| Occupation | Artist |
| Address | East Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs J B Romero, 117 Chomley Street, East Prahran, Victoria |
| Enlistment date | 2 August 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 Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 3 September 1919 |
