| Regimental number | 17365 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Insurance broker |
| Address | Geelong Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Uncle, J Royle, 15 Church Lane, Prestwick, Manchester, England |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps February 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 25 September 1919 |
