| Regimental number | 876 |
| Place of birth | Nagambie Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dubbo PO, Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs M L Olsen, Dubbo PO, Dubbo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on |
| Date of embarkation incorrectly listed on Embarkation Roll as 7 June 1915. | |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |