| Regimental number | 13192 |
| Place of birth | Petionth England |
| Religion | Church of England |
| Occupation | Assistant grocer |
| Address | Pingelly, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Friend, C Aldrick, Pingelly, Western Australia |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A63 Karoola on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Stationary Hospital |
| Fate | Returned to Australia 27 July 1917 |
