| Regimental number | 11181 |
| Place of birth | South Yarra, Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Palmyra, Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A V Dyson, Zenobia Street, Palmyra, Fremantle, Western Australia |
| Enlistment date | 5 October 1915 |
| Date of enlistment from Nominal Roll | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 16 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 12 March 1918 |
| Other details | Medals: British War Medal, Victory Medal |
