| Regimental number | 6988 |
| Place of birth | Frittenden England |
| Occupation | E engineer |
| Address | Camberwell Grammar School Burke Rd, Camberwell, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Miss E Cornes, 38 Kensington Square, London W, England |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 18 January 1919 |