| Regimental number | 3538 |
| Place of birth | Warrnambool Victoria |
| Religion | Church of England |
| Occupation | Dealer |
| Address | North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs A Ellman, 130 Arden Street, North Melbourne, Victoria |
| Enlistment date | 2 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
