| Regimental number | 2239 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Black Forest |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs. Caroline Jeffries, c/o W. Ward, Gillies Street, Adelaide, South Australia |
| Enlistment date | 11 November 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 16 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
