| Service number | 2830 |
|---|---|
| Rank | Private |
| Unit | 3rd Australian Light Horse Field Ambulance |
| Service | Australian Imperial Force |
| Conflict/Operation | First World War, 1914-1918 |
| Award | Military Medal |
| Commonwealth of Australia Gazette | 17 October 1919 on page 1531 at position 15 |
| London Gazette | 3 July 1919 on page 8358 at position 35 |