| Regimental number | 14933 |
| Place of birth | Parkside, South Australia |
| Religion | Church of England |
| Occupation | Decorator |
| Address | Parkside, South Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs C M E Butler, 1 Bevis Street, North Adelaide, South Australia |
| Enlistment date | 17 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 8 September 1919 |
