| Regimental number | 17058 |
| Place of birth | Bondi New South Wales |
| Religion | Methodist |
| Occupation | Chemist |
| Address | Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M I Dickson, 'Carrisbrook', Botany Street, Waverley, New South Wales |
| Enlistment date | 13 February 1917 |
| Date of enlistment from Nominal Roll | 11 September 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 11 May 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 31 December 1918 |
