
| Regimental number | 13432 |
| Place of birth | Parkside, South Australia |
| Religion | Church of England |
| Occupation | Ironmoulder |
| Address | Hawthorn, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs A M Fuller, Clifton Street, Hawthorn, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, April 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 13th Field Ambulance |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |