| Regimental number | 765 |
| Place of birth | St Heliers Jersey |
| Religion | Church of England |
| Occupation | Clerk in Holy Orders |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs W M Statt, 7 Thorniecliffe Road, Summerton, Oxford, England |
| Enlistment date | 6 November 1914 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on 28 November 1914 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Cahplains Depot |
| Fate | Returned to Australia |
