| Regimental number | 6401 |
| Place of birth | New Hartley England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 14 New Biggin Road, Seatonhurst, Northumberland, England |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M E Dobbins, 14 New Biggin Road, Seatonhurst, Northumberland, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 12th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Recommendations (Medals and Awards) |
Military Medal (Awarded) Valuable services under fire, while in charge of bearer squad, showing coolness and courage and marked devotion to duty. (East of Ypres). Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 95 Date: |