| Regimental number | 200 |
| Place of birth | Geelong, Victoria |
| Religion | Baptist |
| Occupation | Wheelwright |
| Address | c/o Mrs Green, 12 Balliang Street, South Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Height | 5' 6" |
| Weight | 132 lbs |
| Next of kin | Mrs S Warren, Moonambel, Victoria |
| Enlistment date | 17 August 1914 |
| Place of enlistment | Geelong, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, B Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on 19 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 6 September 1919 |
