| Regimental number | 10012 |
| Place of birth | Golspie New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Golshire, via Taralgar, near Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs M Webster, Golshire, via Taralgar, near Goulburn, New South Wales |
| Enlistment date | 13 August 1915 |
| Date of enlistment from Nominal Roll | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4,Field Ambulance 5, Reinforcement 11 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 28 March 1919 |
