| Regimental number | 8806 |
| Place of birth | Perth, Western Australia |
| Religion | Congregational |
| Occupation | Clerk |
| Address | 661 Murray Street, West Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss L Allen, 661 Murray Street, West Perth, Western Australia |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 14 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 24 December 1918 |
