| Regimental number | 14651 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Woodanilling, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Dival, Woodanilling, Western Australia |
| Enlistment date | 2 November 1915 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 16 December 1917 |
