| Regimental number | 34 |
| Place of birth | Bungay England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 154 Eveleigh Street, Redfern, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs H Riches, South End Road, Bungay, Suffolk, England |
| Enlistment date | 12 August 1914 |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force (Tropical Unit), Australian Medical Corps |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
