| Regimental number | 13980 |
| Place of birth | Abbotsford Victoria |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Abbotsford, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Whiteley, 'Surbiton', 55 Studley Street, Abbotsford, Victoria |
| Previous military service | 55th Infantry |
| Enlistment date | 24 August 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |
