| Regimental number | 17992 |
| Place of birth | Wroughton England |
| Religion | Methodist |
| Occupation | Clerk |
| Address | East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs L Elliott, Byers Road, Midland Junction, Western Australia |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 8 April 1918 |
