| Regimental number | 4848 |
| Religion | Church of England |
| Occupation | Metal roller |
| Address | West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs F Emby, 4 Stone Street, West Perth, Western Australia |
| Enlistment date | 27 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia 15 February 1918 |