| Regimental number | 5033 |
| Place of birth | Pyrmont New South Wales |
| Religion | Church of England |
| Occupation | Masseur, manicurist |
| Address | 22 Margaret Street, Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Watson, 22 Margaret Street, Enmore, New South Wales |
| Enlistment date | 15 June 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 1 Hospital Ship |
| Fate | Effective abroad (still overseas) |
