| Regimental number | 4512 |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs F J Stewart, 3 Wellington Street, Windsor, Victoria |
| Previous military service | 23rd Battery Australian Field Artillery |
| Enlistment date | 11 December 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
