| Regimental number | 105 |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | Laurel Bank, Toowong, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs A C Dellar, Brisbane Street, Mackay, Queensland |
| Enlistment date | 12 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital (November 1914) |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A55 Kyarra on 21 November 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
