| Regimental number | 3371 |
| Religion | Methodist |
| Occupation | Loom turner |
| Address | McKillop Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Cousin, H Sutcliffe, Douglas Parade, Williamstown |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Section C |
| AWM Embarkation Roll number | 26/49/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 31 Date: |