| Regimental number | 9145 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Sans Souci, Yabsley Avenue, Marrickville |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Henrietta Farnsworth, Sans Souci, Yabsley Avenue, Marrickville |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital |
| AWM Embarkation Roll number | 26/69/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd A Aty H |
| Fate | Returned to Australia 15 February 1918 |
