| Regimental number | 4495 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs F Stretton, 8 Egan Street, Newtown, New South Wales |
| Enlistment date | 8 May 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
