| Regimental number | 16404 |
| Place of birth | Ballarat, Victoria |
| Religion | Congregational |
| Occupation | State public servant |
| Address | Neutral Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Miss L E Doyle, 'Warwick', Yeo Street, Neutral Bay, New South Wales |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 15 April 1918 |
