| Regimental number | 21678 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs P Attwell, 17 Raglan Street, South Melbourne, Victoria |
| Enlistment date | 11 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
