| Regimental number | 9995 |
| Religion | Presbyterian |
| Occupation | Bootmaker |
| Address | Mount Hawthorn, Western Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs D E Scott, 1 Ilma Street, Mt Hawthorn, Western Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian Stationary Hospital, 16th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Regimental number from Nominal Roll | 995 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Stationary Hospital |
| Fate | Returned to Australia 16 January 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
