| Regimental number | 14807 |
| Place of birth | Woking England |
| Religion | Church of England |
| Occupation | Chief cook |
| Address | Darlinghurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs P Etherington, 102 Crown Street, Darlinghurst, New South Wales |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |