| Regimental number | 19608 |
| Place of birth | Glanville, South Australia |
| Religion | Presbyterian |
| Occupation | Moulder |
| Address | Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A E Dalziel, 54 Ashley Street, Torrensville, South Australia |
| Enlistment date | 8 August 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 23 July 1919 |