| Regimental number | 4890 |
| Place of birth | Geraldton Western Australia |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | 130 Lewis Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, R Rowe c/o G J Inglis, Kalgoorlie, Western Australia |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 24 December 1918 |
