| Regimental number | 1040 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | c/o Mrs R C Pearce, "Rosedale", Orange |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs R C Pearce, 'Rosedale', Orange |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A65 Clan McEwen on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Promotions |
2nd Lieutenant Unit: LH1 Promotion date: |
| Fate | Returned to Australia |