| Regimental number | 19134 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Railway employee |
| Address | South Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E J Whitten, 471 Latrobe Terrace, Geelong South, Victoria |
| Enlistment date | 25 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 | 15th Field Ambulance |
| Fate | Returned to Australia 24 December 1918 |
