| Regimental number | 61700 |
| Place of birth | Perth Western Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 72 Spring Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, G Taylor, c/o Monteith and Sons, Market Street, South Melbourne, Victoria |
| Enlistment date | 13 June 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
