| Regimental number | 18592 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Selector |
| Address | Sandgate, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs L Bulgin, Deagon Street, Sandgate, Queensland |
| Enlistment date | 11 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 5 January 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 20 October 1918 |