| Regimental number | 9219 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 70 John Street, Woollahra |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Nellie Williams, 70 John Street, Woollahra |
| Enlistment date | 4 July 1915 |
| Rank on enlistment | Quartermaster Sergaent |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 7 June 1918 |