| Regimental number | 1262 |
| Place of birth | Hawthorn Victoria |
| Religion | Congregational |
| Occupation | Commercial traveller |
| Address | Austral Parade, Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Ernest Shaw, Austral Parade, Bunbury, Western Australia |
| Enlistment date | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on 14 December 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Effective abroad (still overseas) |