| Regimental number | 1995 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Friend, Mrs. J. Atkins, 4 Perry Street, Rozelle, Sydney, New South Wales |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 27 July 1917 |
