| Regimental number | 15508 |
| Place of birth | Enfield New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 'Cedardale', Pennant Hills Road, Wahroonga, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Amy Cornish, 'Cedardale', Pennant Hills Road, Wahroonga, New South Wales |
| Previous military service | 19th Infantry |
| Enlistment date | 14 January 1916 |
| Date of enlistment from Nominal Roll | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 22nd Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A13 Katuna on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 13 March 1919 |
