| Regimental number | 19230 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs F Fergusson, 38 High Street, Sandy Bay, Hobart, Tasmania |
| Enlistment date | 8 November 1916 |
| Date of enlistment from Nominal Roll | 5 October 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 23 July 1919 |
