| Regimental number | 10817A |
| Place of birth | Brisbane Queensland |
| Religion | Roman Catholic |
| Occupation | Mechanical dentist |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Campbell, 211 Harcourt Street, New Farm, Queensland |
| Enlistment date | 22 October 1915 |
| Date of enlistment from Nominal Roll | 13 October 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Regimental number from Nominal Roll | 10817 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 17th Dental Unit |
| Fate | Returned to Australia 23 July 1919 |
