| Regimental number | *146 |
| Place of birth | Port Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Traveller |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E M Deane, Camera Street, Moreland, Victoria |
| Enlistment date | 5 October 1914 |
| Rank on enlistment | LSGT |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Honorary Lieutenant |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 11 April 1916 |
