| Regimental number | 5664 |
| Place of birth | Geelong, Victoria |
| Religion | Methodist |
| Occupation | Dental mechanic |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs R Duckworth, 43 Erin Street, Richmond, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Depot Unit |
| Fate | Returned to Australia 3 April 1918 |
