| Regimental number | 2122 |
| Place of birth | Granville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss Stella Gill, Wollongong, New South Wales |
| Enlistment date | 1 December 1916 |
| Date of enlistment from Nominal Roll | 14 October 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |