| Regimental number | 3168 |
| Religion | Presbyterian |
| Occupation | Blacksmith |
| Address | Korumburra, Victoria |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Anne Jean Walters, Korumburra, Victoria |
| Enlistment date | |
| Rank on enlistment | Farrier Sergeant |
| Unit name | 6th Field Ambulance, Section A |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on |