| Regimental number | 217 |
| Place of birth | Kapunda, South Australia |
| Religion | Church of England |
| Occupation | Coach trimmer |
| Address | Leake Street, Bayswater, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr Brown, Leake Street, Bayswater, Western Australia |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 28th Battalion, D Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 67 Date: |