| Regimental number | 7784 |
| Place of birth | Richmond New South Wales |
| Religion | Methodist |
| Occupation | Machinist |
| Address | Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs A Skinner, 47 Hutton Street, Manly, New South Wales |
| Enlistment date | 22 July 1915 |
| Rank on enlistment | Private |
| Unit name | First Australian General Hospital, Special Reinforcements |
| AWM Embarkation Roll number | 26.65.3RSSPEC |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 1 Australian General Hospital |
| Fate | Returned to Australia 3 January 1916 |
