| Regimental number | 12056 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | H A C student |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Sophia Rosenthal, 29 Ithau Road, Elizabeth Bay, Sydney, New South Wales |
| Previous military service | 26th Australian Army Medical Corps |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section A |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 10 April 1919 |