| Regimental number | 7913A |
| Religion | Methodist |
| Occupation | Tram conductor |
| Address | Tea Tree, Tasmania |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J Paice, Tea Tree, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |