| Regimental number | 12668 |
| Place of birth | Day Creek South Australia |
| Religion | Methodist |
| Occupation | Porter, S A R |
| Address | Gepps Cross, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Ada Jane Rowe, Gepps Cross, South Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Driver |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 19 June 1919 |
