| Regimental number | 4376 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Long Bay Road, Coogee, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Susan Docker, Long Bay Road, Coogee, Sydney, New South Wales |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Died of wounds 4 October 1917 |