| Regimental number | 4999 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Theatrical employee |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A A W Conway, 109 Mary Street, Richmond, Victoria |
| Enlistment date | 28 July 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 17 March 1919 |
