| Regimental number | 20571 |
| Place of birth | Parkside South Australia |
| Religion | Methodist |
| Occupation | Miller's assistant |
| Address | Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs H S Tozer, 12 Stephens Avenue, Torrensville, South Australia |
| Enlistment date | 16 October 1917 |
| 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 | Effective abroad (still overseas) |