| Regimental number | 3511 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | East Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Pincham, 229 Liverpool Street, East Sydney, New South Wales |
| Enlistment date | 16 April 1917 |
| Date of enlistment from Nominal Roll | 14 April 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 | 14th Light Horse Regiment |
| Fate | Returned to Australia 26 July 1919 |
