| Regimental number | 15515 |
| Place of birth | Milton New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Cork, 36 Breillabt Street, Annandale, New South Wales |
| Enlistment date | 15 January 1916 |
| Date of enlistment from Nominal Roll | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corp |
| Fate | Returned to Australia 18 January 1919 |
| Date of death | 26 May 1966 |
| Place of burial | Rookwood Crematorium |
