| Regimental number | 190 |
| Place of birth | Cobar New South Wales |
| Religion | Methodist |
| Occupation | Stockman |
| Address | c/o Eddington Station, Gilliat, via Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Albert Ford, c/o Eddington Station, Gilliat, via Cloncurry, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Light Horse Brigade Train 1, Reinforcement 6 |
| AWM Embarkation Roll number | 25/95/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |