| Regimental number | 2096 |
| Place of birth | Leicestershire England |
| Religion | Church of England |
| Occupation | Clicker |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs L York, 10 Constance Road, Leicester, England |
| Enlistment date | 23 December 1914 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 8 May 1919 |
