| Regimental number | 3510 |
| Place of birth | Bath England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Canterbury, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Helen Pike, George Street, Canterbury, Sydney, New South Wales |
| Enlistment date | 5 June 1917 |
| Date of enlistment from Nominal Roll | 21 May 1917 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *no date of fate |
