| Regimental number | 1 |
| Religion | Methodist |
| Occupation | Coachbuilder |
| Address | 33 Ormond Street, Ashfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Mrs A Hazlett, 33 Ormond Street, Ashfield, New South Wales |
| Enlistment date | 12 August 1914 |
| Rank on enlistment | Warrant Officer |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), Australian Medical Corps |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |
| Fate | No details of fate entered on Nominal Roll |
