| Regimental number | 1455 |
| Religion | Church of England |
| Occupation | Medical student |
| Address | Swift Street, Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Mr Woods, Swift Street, Albury, New South Wales |
| Enlistment date | 7 November 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 1st Australian Clearing Hospital |
| AWM Embarkation Roll number | 26/102/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAS A55 Kyarra on 5 December 1914 |
| Miscellaneous details (Nominal Roll) | see other |