| Regimental number | 13662 |
| Religion | Church of England |
| Occupation | Theological student |
| Address | Eagle Junction, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M A Taylor, 'Berwick', Coranga Road, Gayndah, Queensland |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
