| Regimental number | 13763 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Steward |
| Address | Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Miss H V Dix, Tamworth Club, Tamworth, New South Wales |
| Enlistment date | |
| Place of enlistment | Armidale, New South Wales |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Killed in Action |
| Place of burial | Warloy-Baillon Communal Cemetery Extension (Plot VII, Row E, Grave No. 31), France |
| Panel number, Roll of Honour, Australian War Memorial | 182 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |