| Regimental number | 112 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Mary Street, Rosalie, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Sarah Waite, Mary Street, Rosalie, Brisbane, Queensland |
| Enlistment date | 13 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 24 August 1918 |
