| Regimental number | *1507 |
| Place of birth | Koroit, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kirkstall, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Emma Game, Kirkstall, Victoria |
| Enlistment date | 9 July 1915 |
| Place of enlistment | Koroit, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia 3 July 1919 |