| Regimental number | 20736 |
| Place of birth | Brighton England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Granton, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs F Harris, Rosendale, Granton, Tasmania |
| Enlistment date | 15 August 1917 |
| Date of enlistment from Nominal Roll | 14 August 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 22 August 1919 |
