| Regimental number | 19001 |
| Place of birth | Lancashire, England |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | West End, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, T Taylor, Ripple Dell, Spring Street, West End, Queensland |
| Enlistment date | 6 June 1917 |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 20 July 1919 |
