| Regimental number | 3967 |
| Place of birth | Maryborough Queensland |
| Religion | Presbyterian |
| Occupation | Dental mechanic |
| Address | Lennox Street, Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs R Tappenden, Lennox Street, Maryborough, Queensland |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Dental Corps |
| Fate | Returned to Australia 28 February 1919 |
