| Regimental number | 3880 |
| Place of birth | Dulwich South Australia |
| Religion | Congregational |
| Occupation | Commercial traveller |
| Address | Stuart Road, Dulwich |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Alice Elizabeth Cornish, Stuart Road, Dulwich |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Field Ambulance |
| Fate | Returned to Australia 18 October 1917 |
