| Regimental number | 7905 |
| Place of birth | Warragul Victoria |
| Religion | Church of England |
| Occupation | Warder |
| Address | Sunbury, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M L Skinner, Brooke Street, Sunbury, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No 189 Date: |
| Other details | Medals: Military Medal, 1914-15 Star, British War Medal, Victory Medal |