| Regimental number | 19207 |
| Place of birth | Albany, Western Australia |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Tambellup, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs L Bruce, 30 Carnae Street, South Fremantle, Western Australia |
| Enlistment date | 3 July 1917 |
| Date of enlistment from Nominal Roll | 16 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on 23 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 21 June 1919 |