| Regimental number | 13670 |
| Place of birth | Bundamba Queensland |
| Religion | Methodist |
| Occupation | Coachbuilder |
| Address | Bundamba, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Watkins, Station Hill, Bundamba, Queensland |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 21 December 1917 |
