| Regimental number | 14709 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Dentist and Chemist |
| Address | Wooloongabba, Queensland |
| Marital status | Married (Separated) |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs E M Bell, Leichhardt, New South Wales |
| Enlistment date | 19 February 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |
