| Regimental number | 2484 |
| Place of birth | Roma Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Union Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. Sarah Jane Stanley, Union Street, Toowoomba, Queensland |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 17th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A10 Karroo on 5 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia No date of fate entered on Nom |
