| Regimental number | 1222 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | West End, Queensland |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Margaret Ashton, Beesley Street, West End, Queensland |
| Enlistment date | 9 October 1917 |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Army Medical Corps |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board SS Sumatra on 10 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
