| Regimental number | 61930 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Groom |
| Address | 74 Gertrude Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs H Stowers, 569 Drummond Street, Carlton, Victoria |
| Enlistment date | 25 May 1918 |
| Rank on enlistment | Private |
| Unit name | 13th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |