| Regimental number | 13440 |
| Place of birth | Port Pirie South Australia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | West Croydon, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S E Martin, Percy Terrace, West Croydon, South Australia |
| Enlistment date | 16 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, April 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 8 August 1919 |
