| Regimental number | 6272 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Steward |
| Address | Alford House, Beecham Street, London SW |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs E Dole, Alford House, Beecham Street, London SW |
| Enlistment date | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian Clearing Hospital, 12th Reinforcement |
| AWM Embarkation Roll number | 26/102/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
