| Regimental number | 12691 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Horrick Street, North Walkerville, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Waterman, Horrick Street, North Walkerville, South Australia |
| Enlistment date | 15 November 1915 |
| Rank on enlistment | Private |
| 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 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 16 June 1919 |
