| Regimental number | 2526 |
| Place of birth | Collingwood Victoria |
| Religion | Methodist |
| Occupation | Carter |
| Address | North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister-in-Law, Mrs Florence Vance, 340 Station Street, North Carlton, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Veterinary Evacuation Station |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |