| Regimental number | 20076 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | Hurstville, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs L S Ferguson, 'Wicklow', Patrick Street, Hurstville, New South Wales |
| Enlistment date | 3 December 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 May 1919 |
