| Regimental number | 2188 |
| Place of birth | Dongarra, Western Australia |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Neeberra Station via Yalgoo, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Miss Frederica Everingham, Eden Vale, Bridgetown, Western Australia |
| Enlistment date | 22 December 1915 |
| Date of enlistment from Nominal Roll | 18 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 15 February 1918 |
