| Regimental number | 4869 |
| Religion | Roman Catholic |
| Occupation | Motor driver |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A M Scott, 61 Brewer Street, Perth, Western Australia |
| Enlistment date | 28 April 1917 |
| Date of enlistment from Nominal Roll | 3 May 1919 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 7 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia 1 July 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
