| Regimental number | 61358 |
| Place of birth | Leicester England |
| Religion | Methodist |
| Occupation | Porter |
| Address | c/o Mrs J Pearson, 386 Station Street, Box Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Guardian, Mrs R Kitson, Great Dalby Station, Melton Mowbray, England |
| Enlistment date | 22 March 1918 |
| Rank on enlistment | Private |
| Unit name | 11th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Discharged 5 October 1919 |
