| Regimental number | 3879 |
| Place of birth | Fulham South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Fulham, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Clara B Stanford, Fulham, South Australia |
| Enlistment date | 8 May 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 1 May 1919 |
