| Regimental number | 21A |
| Place of birth | South Yarra, Victoria |
| Religion | Presbyterian |
| Occupation | Railway employee |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs E Dick, 267 Dorcas Street, South Melbourne, Victoria |
| Enlistment date | 16 April 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Regimental number from Nominal Roll | 21 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 30 December 1918 |
