| Regimental number | 2877 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | George's Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, Lily Davies, Lower Creek, Macleay River, New South Wales |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 9 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on 22 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 2 January 1919 |