| Regimental number | 17565 |
| Place of birth | Auckland New Zealand |
| Religion | Church of England |
| Occupation | Theatrical |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Bull, c/o Mrs Plummer, Papu, Thames, Auckland, New Zealand |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Effective abroad (still overseas) |
