| Regimental number | 69 |
| Religion | Methodist |
| Occupation | Agent |
| Address | 36 Constitution Road, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Friend, Mrs Pilsbury, 36 Constitution Road, Petersham, New South Wales |
| Previous military service | 7th Australian Army Medical Corps |
| Enlistment date | 24 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 1st Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/44/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 20 November 1918 |