
| Regimental number | 9821 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Avenuel Gardens, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Rose Taylor, c/o Mr R Taylor, Harbour Trust, Fremantle, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 16 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |