| Regimental number | 19538 |
| Place of birth | Stratford-on-Avon England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A E Caldicott, 19 Market Street, St Kilda, Victoria |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |