| Regimental number | 10064 |
| Place of birth | Canterbury England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | 28 St Radigund Street, Canterbury, Kent, England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Louise Dawson, 'Wiwan', Dawson Valley, Rockhampton, Queensland |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 11th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Discharged 8 September 1919 |