| Regimental number | 4976 |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Granville, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Elizabeth May Arnold, 18 Woods Avenue, Woollahra, Sydney, New South Wales |
| Enlistment date | 16 October 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Army Dental Corps |
| Fate | Returned to Australia 19 April 1919 |