| Regimental number | 18487 |
| Place of birth | Shropshire England |
| Religion | Church of England |
| Occupation | Wood machinist |
| Address | Hackney, South Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Worrall, 2 Osborne Street, Hackney, South Australia |
| Enlistment date | 11 April 1917 |
| Rank on enlistment | Private |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 30 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 23 July 1919 |
