| Regimental number | 2164 |
| Place of birth | Dongara, Western Australia |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Geraldton, Western Australia |
| Marital status | Widower |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs Elizabeth Jane Faull, Victoria Park, Western Australia |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Regimental number from Nominal Roll | 2164B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Australian Veterinary Corps |
| Fate | Returned to Australia 26 July 1919 |
