| Regimental number | 63964 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E K Winter, 68 Meyer Street, Torrensville, South Australia |
| Enlistment date | 26 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 Boonah on 29 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | hdqrs IN UK |
| Fate | Returned to Australia 18 January 1919 |
