| Regimental number | *130 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Waiter |
| Address | 183 Franklin Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs C A Cross, 273 Hanon Road, Leytonstone, Essex, England |
| Enlistment date | 20 November 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Returned to Australia 16 October 1918 |