| Regimental number | 3593 |
| Religion | Seventh Day Adventist |
| Occupation | Poultry farmer |
| Address | Orrong Road, Burswood, Western Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Dorothy Gertrude, 466 Newcastle Street, Perth, Western Australia |
| Enlistment date | 30 August 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS A73 Commonwealth on 9 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
