| Regimental number | 2015 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | Alstonville, Richmond, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Clarice Lilian Fredericks, Alstonville, Richmond, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 18 December 1918 |
| Date of death | 25 January 1960 |
| Age at death | 67 |
| Place of burial | Alstonville Cemetery, New South Wales |
