| Regimental number | 11112 |
| Place of birth | Mount Clear, Victoria |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Mount Clear, near Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Miss L M Dalzell, Mount Clear, near Ballarat, Victoria |
| Enlistment date | 2 August 1915 |
| Date of enlistment from Nominal Roll | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 2 June 1919 |
