| Regimental number | 4879 |
| Place of birth | Fremantle Western Australia |
| Religion | Methodist |
| Occupation | Driver |
| Address | 271 Hampton Road, Beaconsfield, via Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Alice Jane Webb, 271 Hampton Road, Beaconsfield, via Fremantle, Western Australia |
| Enlistment date | 17 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on 25 June 1915 |
| Regimental number from Nominal Roll | 9847 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 1 March 1919 |
