| Regimental number | 4776 |
| Place of birth | Perth Western Australia |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 11 Lansdown Terrace, Victoria Square, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, George Sydney, 56 Beaufort Street, Perth, Western Australia |
| Enlistment date | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 5 January 1919 |
