| Regimental number | 7905 |
| Religion | Church of England |
| Occupation | Warder |
| Address | Brook Street, Sunbury, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M L Skinner, Brook Street, Sunbury, Victoria |
| Enlistment date | 19 July 1915 |
| Date of enlistment from Nominal Roll | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 18 October 1917 |
| Miscellaneous details (Nominal Roll) | *Second entryboth matched |