| Regimental number | 18467 |
| Religion | Church of England |
| Occupation | Groom |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs D Winter, c/o Dr Evans, Kyogle, Richmond River, New South Wales |
| Enlistment date | 25 January 1914 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 2 |
| AWM Embarkation Roll number | 26/66/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A55 Kyarra on 28 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
