| Regimental number | 833 |
| Place of birth | Hall England |
| Religion | Church of England |
| Occupation | Agriculturist |
| Address | 67 Edinburgh Street, Hull, England |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss Squire, 67 Edinburgh Street, Hull, England |
| Enlistment date | 28 September 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance |
| AWM Embarkation Roll number | 26/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 2 January 1919 |