| Regimental number | 9807 |
| Place of birth | Port Pirie, South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Strathalbyn, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs L M Butler, Strathalbyn, South Australia |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 16 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 4 January 1919 |
