| Regimental number | 18461 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs C J Spain, 258 Esplanade East, Port Melbourne, Victoria |
| Enlistment date | 3 September 1917 |
| Rank on enlistment | Private |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 18 December 1918 |