| Regimental number | 20733 |
| Place of birth | Lefroy, Tasmania |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | South Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs M Dutton, 15 Albert Street, Windsor, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia |