| Regimental number | 1148 |
| Religion | Church of England |
| Occupation | Printer |
| Address | Ascot Park, South Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs B E Elliott, Ascot Park, South Australia |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 27 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 23 May 1917 |