| Regimental number | 13164 |
| Place of birth | Kandy Ceylon: POE Blackboy Hill, Western Australia |
| Religion | Presbyterian |
| Occupation | Accountant |
| Address | Westonia, Western Australia |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Friend, S White, Subiaco, Western Australia |
| Enlistment date | 20 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 Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 1 June 1919 |
