| Regimental number | 13195 |
| Place of birth | Stratford Victoria |
| Religion | Presbyterian |
| Occupation | Sleeper hewer |
| Address | Kirupp, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R Todd, Kirupp, Western Australia |
| Enlistment date | 15 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 Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 July 1919 |
