| Regimental number | 1107 |
| Place of birth | Stonehut South Australia |
| Religion | Church of England |
| Occupation | Cook |
| Address | c/o Mrs Underdown, Angas Street, Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Florence Copeland, 11 Regent Street, South Australia |
| Enlistment date | 28 October 1914 |
| Rank on enlistment | Corporal |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 24 September 1918 |
