| Regimental number | 69 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Farrier |
| Address | 'Ormond', Sargood Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mr Sullivan, 'Ormond', Sargood Street, Carlton, Victoria |
| Previous military service | 28th Australian Army Medical Corps |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on 23 September 1914 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 25 December 1918 |
