| Regimental number | 5636 |
| Place of birth | Narmah New South Wales |
| Religion | Church of England |
| Occupation | Contractor |
| Address | 30 Coburg Street, Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E L Wheeler, 30 Coburg Street, Coburg, Victoria |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 5 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 20 November 1918 |
| Date of death | 15 June 1947 |
| Place of burial | Fawkner Cemetery |
