| Regimental number | 13610 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs M Elsworthy, 12 George Street, Rockhampton, Queensland |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Ambulance |
| Fate | Returned to Australia 8 January 1919 |
