| Regimental number | 14854 |
| Place of birth | Ballan Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Ballan, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs F Flack, 'Bellevue', Ballan, Victoria |
| Enlistment date | 14 July 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 Melbourne, Victoria, on board HMAT A49 Seang Choon on 23 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 16 December 1917 |
