| Regimental number | 306 |
| Place of birth | South Melbourne Victoria |
| Religion | Methodist |
| Occupation | Engineer |
| Address | 12 Fawkner Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Bessie Stuart Symons, 12 Fawkner Street, St Kilda, Victoria |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on n.d. |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 12 May 1918 |