| Regimental number | 9599 |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | Narracoorte, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs D Stubbs, Caves Road, Narracoorte, South Australia |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Stationary Hospital, 15th Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 22 July 1917 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |