| Regimental number | 13760 |
| Place of birth | West Petersham New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M A Curtis, 12 Premier Street, Marrickville, New South Wales |
| Enlistment date | 3 November 1915 |
| 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 | Australian Army Medical Corps |
| Fate | Returned to Australia 12 June 1919 |