| Regimental number | 4376 |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Coogee, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs S Docker, Long Bay Road, Coogee, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Field Ambulance |
| Fate | Died of wounds |
| Panel number, Roll of Honour, Australian War Memorial | 182 |
| Miscellaneous information from cemetery records | Town. Coogee, New South Wales |