| Regimental number | 3 |
| Enlistment date | |
| Rank on enlistment | Staff Sergeant (Dispenser) |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), Australian Medical Corps |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Discharge date | |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Sources | NAA: B2455, WRAY R F M |