| Regimental number | 8102 |
| Religion | Church of England |
| Occupation | Civil engineer |
| Address | Bowral, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Miss C Smith, Yerenbah, Bowral, New South Wales |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 2 Australian General Hospital |
| Fate | Returned to Australia 13 February 1917 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
