| Regimental number | 2866 |
| Religion | Church of England |
| Occupation | Mill tallyman |
| Address | 5 Steinton Street, Manly, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Netta Fallick, 5 Steinton Street, Manly, Sydney, New South Wales |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on 22 July 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 8 March 1917 |
