| Regimental number | 12401 |
| Place of birth | St Kilda Victoria |
| Religion | Church of Christ |
| Occupation | Jeweller |
| Address | Milroy Street, Brighton Beach, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C Sievwright, Milroy Street, Brighton Beach, Victoria |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
