| Regimental number | 2167 |
| Place of birth | Birkshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. Emma Elizabeth Elliott, 2 Fortes Green Road, East Finchley, London, England |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 9 July 1919 |
