| Regimental number | 18423 |
| Place of birth | Benalla Victoria |
| Religion | Church of England |
| Occupation | Draper |
| Address | Balaclava, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Miss H Watts, 6 Carlisle Avenue, Balaclava, Victoria |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Effective abroad (still overseas) |