| Regimental number | 13602 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Freezer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Miss A J Creighton, c/o Mrs Sextie, Hobson's Bay Road, Parnell, Quckland, New Zealand |
| Enlistment date | 31 December 1915 |
| Place of enlistment | Townsville, Queensland |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Army Hospital |
| Fate | Returned to Australia 27 August 1918 |