| Regimental number | 2622 |
| Place of birth | Lidcombe New South Wales |
| Religion | Roman Catholic |
| Occupation | Boundary rider |
| Address | Manilla PO, Manilla, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs Ethel Cannon, 59 Little Ablert Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 23 April 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 16 March 1919 |
| Other details | Medals: British War Medal, Victory Medal |
