| Regimental number | 17813 |
| Place of birth | Bathurst New South Wales |
| Religion | Presbyterian |
| Occupation | Chemist |
| Address | Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs H M Russell, 5 Rivers Street, Bellevue Hill, Woollahra, New South Wales |
| Enlistment date | 8 June 1917 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 12 November 1917 |