| Regimental number | 216 |
| Place of birth | New Zealand |
| Religion | Methodist |
| Occupation | Salesman |
| Address | 'Thelma', 93 Darling Street, Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | James Smith, 'Thelma', 93 Darling Street, Balmain, New South Wales |
| Enlistment date | 24 August 1914 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 4 November 1918 |