| Regimental number | 10028 |
| Place of birth | Kangaroo Flat Victoria |
| Religion | Presbyterian |
| Occupation | Student |
| Address | 'Myrnong', Kangaroo Flat, via Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Burdett Coutts, 'Myrnong', Kangaroo Flat, via Bendigo, Victoria |
| Previous military service | 67th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 6, Field Ambulance 6, Reinforcement 11 |
| AWM Embarkation Roll number | 26/49/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Regimental number from Nominal Roll | Comissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |