| Regimental number | 19133 |
| Place of birth | Maldon Victoria |
| Religion | Church of England |
| Occupation | Printer |
| Address | Maldon, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs R Whitlock, Templeton Street, Maldon, Victoria |
| Previous military service | 66th Infantry |
| Enlistment date | 8 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a BASE DEP CAMP HOSP |
| Fate | Effective abroad (still overseas) |