| Regimental number | 569 |
| Place of birth | Nareen Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Nareen, via Coleraine, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | J Waters, Jun., Hillside, Nareen, via Coleraine, Victoria |
| Enlistment date | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on 19 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 11 May 1916 |
