| Regimental number | 1654 |
| Place of birth | Kiama New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Bowden, Granville, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Charlotte Medcalf, Bowden, Granville, New South Wales |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | TPR |
| Unit name | Australian Remount Unit 2, Squadron 6 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia 29 April 1916 |
