| Regimental number | 16641 |
| Place of birth | Taree New South Wales |
| Religion | Church of England |
| Occupation | Assistant chemist |
| Address | Taree, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S Buchanan, Victoria Street, Taree, New South Wales |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia 6 July 1917 |
