| Regimental number | 179A |
| Place of birth | Kent, England |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | c/o Warner, Hines Hill, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs Waller, c/o Warner, Hines Hill, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | 179 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Died of wounds |
| Age at death from cemetery records | 25 |
| Place of burial | Cairo War Memorial Cemetery (Row B, Grave No. 273), Egypt |
| Panel number, Roll of Honour, Australian War Memorial | 184 |