| Regimental number | 2630 |
| Place of birth | Yae, Victoria |
| Religion | Church of England |
| Occupation | Horseman |
| Address | Richmond PO, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Daisy A Daley, Richmond PO, Richmond, Victoria |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Reinforcement 4 |
| AWM Embarkation Roll number | 28/2/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Barunga on 6 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Effective abroad (still overseas) |
