| Regimental number | 13858 |
| Place of birth | Tenterfield New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Hunter's Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs E A Weir, Paul Street, Hunter's Hill, New South Wales |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | abdc HPL |
| Fate | Returned to Australia 10 June 1919 |
