| Regimental number | 17500 |
| Place of birth | Richmond Victoria |
| Religion | Congregational |
| Occupation | Paper ruler |
| Address | Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Were, 27 Raglan Street, Albert Park, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |