| Regimental number | 1928 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Tiaro, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Taylor, Gordon, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |