| Regimental number | 10143 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Hospital dresser |
| Address | Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs M Sellwood, 28 Berwick Street, Brighton, Victoria |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Casualty Clearing Station, 5th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Vic, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd A HOSP |
| Fate | Returned to Australia 30 January 1918 |
