| Regimental number | 8533 |
| Religion | Methodist |
| Occupation | Blacksmith and asylum attendant |
| Address | South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs R Stormouth, Greenfield Place, Blaenavon, Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, 13th Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
