| Regimental number | 15049 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Chemist |
| Address | Toorak, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs F Dyer, 515 Malvern Road, Toorak, Victoria |
| Enlistment date | 19 September 1916 |
| Date of enlistment from Nominal Roll | 16 September 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 19 September 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 21 July 1917 |
