| Regimental number | 17282 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Ashfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs I Duffield, 79 Boulevarde, Dulwich Hill, New South Wales |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 27 September 1917 |