| Regimental number | 1014 |
| Place of birth | Melbourne Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Bank of Australasia, Korumburra, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | R Wilson, Bank of Australasia, Korumburra, Victoria |
| Enlistment date | 21 October 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section A |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
