| Regimental number | 13832 |
| Place of birth | Cleam England |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Aunt, Miss E Eton, Short Street, Parramatta, New South Wales |
| Enlistment date | 15 August 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 12 May 1919 |