| Regimental number | 3420 |
| Place of birth | Lithgow New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Kalgoorlie PO, Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ella Fernie, Perth GPO, Perth, Western Australia |
| Enlistment date | 11 April 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A17 Port Lincoln on 30 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |
