| Regimental number | 12683 |
| Place of birth | Kingston South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kingston, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Toop, Kingston, South Australia |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 23 September 1919 |
