| Regimental number | 21760 |
| Religion | Church of England |
| Occupation | Surgeon's assistant |
| Address | Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss M E McKelvey, c/o A J Durston, Murchison Street, Ladysmith, Natal, Suth Africa |
| Enlistment date | |
| 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 | 6th Field Ambulance |
| Fate | Returned to Australia |