| Regimental number | 13813 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Tutor |
| Address | Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs M. Agnew, 'Hendon', 68 Morgan Street, Petersham, New South Wales |
| Enlistment date | 16 October 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
