| Regimental number | 3500 |
| Religion | Church of England |
| Occupation | Shearer |
| Address | c/o Exchange Hotel, Narromine, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs. Emily Kates, Junee, New South Wales |
| Enlistment date | 24 April 1917 |
| Date of enlistment from Nominal Roll | 21 April 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |