| Regimental number | 869 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Argent Street, North Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs S Mudge, Argent Street, North Broken Hill, New South Wales |
| Enlistment date | 19 December 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 1 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 20 October 1915 |
