| Regimental number | 12781 |
| Place of birth | Perth Western Australia |
| Religion | Methodist |
| Occupation | Lather |
| Address | 13 Young Street, Wayville, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs M I Wearne, c/o S Wellington, 13 Young Street, Wayville, South Australia |
| Enlistment date | 23 August 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 | Driver |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |
