| Regimental number | 12073 |
| Place of birth | St Helens, England |
| Religion | Church of England |
| Occupation | Driver |
| Address | West Maitland, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Elizabeth Taylor, Aberglassyn Road, Rutherford, W Maitland, New South Wales |
| Enlistment date | 4 March 1916 |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section A |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Division Headquarters |
| Fate | Returned to Australia 18 January 1919 |