| Regimental number | 2194 |
| Place of birth | Melrose South Australia |
| Religion | Church of England |
| Occupation | Colt breaker |
| Address | Port Pirie, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs. Franziska Julia Lane, c/o Mrs. Blackwell, Castle Street, Adelaide, South Australia |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A59 Botanist on 26 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia 12 November 1917 |
