| Regimental number | 617 |
| Place of birth | Portsmouth England |
| Religion | Roman Catholic |
| Occupation | Male nurse |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mrs E Willis, 407 Commercial Road, Portsmouth, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 1 |
| AWM Embarkation Roll number | 26/44/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Machine Gun Company |
| Fate | Discharged |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |