| Regimental number | 36 |
| Place of birth | Rio De Janeiro Brazil |
| Religion | Roman Catholic |
| Occupation | Student |
| Address | Hawkesbury College, Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Walter, 35 Hyde Park Gate, London, SW, England |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Promotions |
2nd Lieutenant Unit: ART Div 4 Promotion date: Lieutenant Unit: ART Div 4 Promotion date: |
| Fate | Returned to Australia |