| Regimental number | 200 |
| Place of birth | Guildford, Western Australia |
| Religion | Methodist |
| Occupation | Railway employee |
| Address | Toodyay, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Height | 5' 8.5" |
| Weight | 159 lbs |
| Next of kin | Sister, Mrs F Burk, Toodyay, Western Australia |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |