| Regimental number | 12958 |
| Place of birth | Wendover England |
| Religion | Church of England |
| Occupation | Male nurse |
| Address | 73 Leichardt Street, Spring Hill, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs C Eggleton, 'Addinton Villa', Alesbury Road, Wendover, Bucks, England |
| Enlistment date | 16 December 1915 |
| Rank on enlistment | Private |
| Unit name | Sanitary Section 3 |
| AWM Embarkation Roll number | 26/78/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Sanitation Section |
| Fate | Discharged 24 March 1919 |
