| Regimental number | 4880 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs C Williams, 178 Sewell Street, East Fremantle, Western Australia |
| Enlistment date | 31 May 1915 |
| Date of enlistment from Nominal Roll | 26 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 21 January 1916 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |