| Regimental number | 18606 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Albion Park, Queensland |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A Sivell, Anthony Street, Albion Park, Queensland |
| Enlistment date | 21 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 5 January 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 9 August 1919 |
