| Regimental number | 1531 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Elderslie, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs. Vivian Vernon, Deloraine, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Hawkes Bay on |