| Regimental number | 2983 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Maud Mary Woolven, 'Eurobah', Ocean Street, Woollahra, New South Wales |
| Enlistment date | 15 February 1917 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements Camel Corps |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
