| Regimental number | 15057 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Macleod, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs J M Wood, 29 Drake Street, Elsternwick, Victoria |
| Enlistment date | 2 February 1917 |
| Date of enlistment from Nominal Roll | 8 January 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 19 October 1918 |