| Regimental number | 18776 |
| Place of birth | Mount Gambier, South Australia |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Mount Gambier, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss M L Daniel, c/o Col F H Daniel, Mount Gambier, South Australia |
| Enlistment date | 22 April 1917 |
| Date of enlistment from Nominal Roll | 21 April 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 5 March 1919 |
