| Regimental number | 12684 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Builder |
| Address | Avenmore Avenue, North Norwood, South Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs A M Wearne, Avenmore Avenue, North Norwood, South Australia |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Sergeant |
| 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 | Sergeant |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 30 January 1918 |
