| Regimental number | 2499 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Hall Street, Merewether, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Ruth May Morgan, Hall Street, Merewether, New South Wales |
| Enlistment date | 7 May 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
