| Regimental number | 14034 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Ironmonger |
| Address | 9 Oxley Road, Glenferrie, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs I Don, 3 Lydiard Street, Glenferrie, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 11 May 1919 |