| Regimental number | 2409 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Hill End, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs. Annie Bastin, Hill End, via Mackay, Queensland |
| Enlistment date | 24 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
