| Regimental number | 1406 |
| Place of birth | Ashton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Miss M McCoy, c/o Mrs H McCoy, Claude Road, Sheffield, Tasmania |
| Marital status | Single |
| Age at embarkation | 29 |
| Enlistment date | 20 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Clearing Hospital |
| AWM Embarkation Roll number | 26/102/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAS A55 Kyarra on 5 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia 24 December 1918 |
