| Regimental number | 2043 |
| Place of birth | Brompton South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | East Street, Brompton, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Louisa Russ, East Street, Brompton, South Australia |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 13 July 1916 |
| Regimental number from Nominal Roll | 2043A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 21 July 1918 |
