| Regimental number | 21680 |
| Place of birth | Fitzroy, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Preston, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A M Brooks, 1 Peters Street, Preston, Victoria |
| Enlistment date | 26 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
