| Regimental number | 9563 |
| Place of birth | Lucerne Switzerland |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Fendalton, Christchurch, New Zealand |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, S H Eaton, Fendalton, Christchurch, New Zealand |
| Enlistment date | 23 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital |
| Regimental number from Nominal Roll | 19902 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 1 Australian Hospital Ship 'Kanowna' |
| Fate | Returned to Australia 13 February 1917 |
