| Regimental number | 18874 |
| Place of birth | Mold Wales |
| Religion | Church of England |
| Occupation | Draper |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, Miss M Vlond, 64 Rodger Street, Spring Hill, Queensland |
| Enlistment date | 2 February 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AAAMC |
| Fate | Returned to Australia 10 July 1919 |