| Regimental number | 21693 |
| Place of birth | Calcutta India |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Spring Vale, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L Feilman, corner of Church and Halifax Streets, Middle Brighton, Victoria |
| Enlistment date | 8 August 1917 |
| Date of enlistment from Nominal Roll | 7 August 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 | 3rd Australian General Hospital |
| Fate | Returned to Australia 5 September 1919 |
