| Regimental number | 1189 |
| Place of birth | Wynnum Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pine Street, Wynnum South, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ann Pavey, Pine Street, Wynnum South, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Died of wounds |
| Place of burial | Mont Huon Military Cemetery (Plot V, Row G, Grave No. 7A), Le Treport, France |
| Panel number, Roll of Honour, Australian War Memorial | 149 |