| Regimental number | 4835 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Mount Barker, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs M A Edwards, Warburton, Victoria |
| Enlistment date | 20 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 20 October 1915 |
