| Regimental number | 14584 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Felt hatter |
| Address | Carrum, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs F Wiltshire, Carrum P O, Carrum, Victoria |
| Enlistment date | 26 July 1915 |
| Date of enlistment from Nominal Roll | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 27 August 1918 |
