| Regimental number | 1103 |
| Place of birth | Orroroo South Australia |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | Orroroo, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Jane Yeates, 5 Marlborough Street, Malvern, South Australia |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section B |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 3 December 1919 |
