| Regimental number | 16372 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs J E Russell, Cornwall Street, off Ipswich Road, South Brisbane, Queensland |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 November 1917 |
