| Regimental number | 19784 |
| Place of birth | London England |
| Religion | Congregational |
| Occupation | Civil servant |
| Address | Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M A M Brewis, 29 Hall Street, Auburn, New South Wales |
| Enlistment date | 17 October 1917 |
| 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 25 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 2 Australian Hospital Ship |
| Fate | Effective abroad (still overseas) |
