| Regimental number | 2643 |
| Place of birth | Devonport Tasmania |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Kindred, N.W. Coast, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. Mary Ann Gardiner, Kindred, N.W. Coast, Tasmania |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
