| Regimental number | 3065 |
| Place of birth | Castlemaine Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs Annie Moller, East Poowong, Western Australia |
| Enlistment date | 6 June 1916 |
| Date of enlistment from Nominal Roll | 9 May 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A45 Bulla on 22 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
