| Regimental number | 4476 |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Wallis, Ipsiwch, Queensland |
| Enlistment date | 20 April 1915 |
| Date of enlistment from Nominal Roll | 9 April 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 10 September 1917 |
