| Regimental number | 7332 |
| Place of birth | Stockport England |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Ascot Vale, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs C S Whitaker, 5 Earl Street, Edgeley, Stockport, England |
| Enlistment date | 30 November 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/22/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
