| Regimental number | 19882 |
| Place of birth | Subiaco Western Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Merrylands, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E J Gannon, Elsinore Street, Merrylands, New South Wales |
| Enlistment date | 4 October 1917 |
| Date of enlistment from Nominal Roll | 8 October 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 SS Gaika on 6 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Field Ambulance |
| Fate | Returned to Australia 10 July 1919 |
