| Regimental number | 1911 |
| Place of birth | Staffordshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Roma, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs Nessie Beatrice Salisbury, Bolton Park, Roma, Queensland |
| Enlistment date | 17 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A36 Boonah on 22 January 1916 |
| Regimental number from Nominal Roll | 1911A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 6 September 1919 |
