| Regimental number | 14605 |
| Place of birth | Adelaide South Australia |
| Religion | Church of Christ |
| Occupation | Motor driver |
| Address | St Peters, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs J Fax, 29 Hackney Road, St Peters, South Australia |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A53 Itria on 14 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 5 July 1919 |
| Date of death | 8 January 1961 |
| Age at death | 65 |
| Place of burial | North Road Church of England Cemetery, Adelaide, South Australia |
