| Regimental number | 14812 |
| Place of birth | Croydon England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Toorak, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs E Jenden, 51 Theobald Road, Croydon, England |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Fate | Effective abroad (still overseas) |
