| Regimental number | 6222 |
| Place of birth | Elsternwick, Victoria |
| Religion | Church of England |
| Occupation | Dental surgeon |
| Address | 130 Lygon Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Alice Beatrice Cole, Esplanade, Brighton, Victoria |
| Enlistment date | 17 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 11th Reinforcement |
| AWM Embarkation Roll number | 26/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 6 August 1965 |
| Place of burial | Springvale Cemetery |
