| Regimental number | 106 |
| Place of birth | Gulgong New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 'Dellwood', Leichhardt Street, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Isobel Cicognani, Gulgong, New South Wales |
| Enlistment date | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Returned to Australia 23 September 1918 |
