| Regimental number | 622 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Chatsworth, The Mansion, George Street, Brisbane |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Edward Fortescue, Chatsworth, The Mansion, George Street, Brisbane |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |