| Regimental number | 1383 |
| Place of birth | Quorn, South Australia |
| Religion | No religion |
| Occupation | Farmer |
| Address | Clanfield via Lameroo, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs V A Wilson, 39 Devon Street, Goodwood, South Australia |
| Enlistment date | 20 October 1917 |
| Date of enlistment from Nominal Roll | 21 October 1917 |
| Rank on enlistment | Private |
| Unit name | Veterinary Corps, June 1918 Reinforcements |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 15 May 1919 |