| Regimental number | 12785 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Customs officer |
| Address | Watson Avenue, Rose Park, South Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Harriet Walker, Watson Avenue, Rose Park, South Australia |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Corporal |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |