| Regimental number | 1412 |
| Religion | Church of England |
| Occupation | Stoker |
| Address | 219 Moray Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M Mason, 122 Cobden Street, South Melbourne, Victoria |
| Enlistment date | 19 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 29 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 25 January 1919 |
