| Regimental number | 1582 |
| Place of birth | Rockhampton Queensland |
| Religion | Baptist |
| Occupation | Salesman |
| Address | East Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Drake, Mowbray Street, East Brisbane, Queensland |
| Enlistment date | 14 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 19 August 1919 |
