| Regimental number | 3256 |
| Place of birth | Jarrahdale, Western Australia |
| Religion | Church of England |
| Occupation | Contractor |
| Address | Kellerberrin, Western Australia |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Friend, Miss Dorothy Mollyneaux, 87 Flinders Street, Mount Hawthorne, Western Australia |
| Enlistment date | 3 August 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 26th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Morea on 26 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
