| Regimental number | 317 |
| Religion | Methodist |
| Occupation | Storekeeper |
| Address | 422 Howick Street, Bathurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs M E Webb, 422 Howick Street, Bathurst, New South Wales |
| Enlistment date | 7 October 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on n.d. |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
