| Regimental number | 4221 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Goonoo Goonoo, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ella Gertrude Caldwell, Underwood Street, Quirindi, New South Wales |
| Enlistment date | 12 May 1917 |
| Date of enlistment from Nominal Roll | 28 March 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Signal Squadron |
| Fate | Returned to Australia 4 March 1919 |
