| Regimental number | 17424 |
| Place of birth | Morgan South Australia |
| Religion | Church of England |
| Occupation | Railway porter |
| Address | Morgan, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs E Wattchow, Private Bag, via Morgan, South Australia |
| Enlistment date | 31 August 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Field Ambulance |
| Fate | Effective abroad (still overseas) |
