| Regimental number | 20739 |
| Place of birth | Hastings Tasmania |
| Religion | Church of England |
| Occupation | Sawmill hand |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs E Stubbs, 3 Erin Street, West Richmond, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | afc HOSP |
| Fate | Returned to Australia |