| Regimental number | 4986 |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Ayrich, Burlington Road, Homebush, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Lillie Bell Docker, Ayrich Burlington Road, Homebush, New South Wales |
| Enlistment date | 31 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, Hospital Transports Staff (No. 1 Hospital Ship, 'Karoola') |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 14 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia |