| Regimental number | 20568 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Hyde Park, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs L M Ralph, 48 Park Street, Hyde Park, South Australia |
| Previous military service | 74th Infantry |
| Enlistment date | 17 May 1918 |
| 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 | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
