| Regimental number | 4163 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Dealer |
| Address | 51 St Marys Street, Camperdown, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Charlotte Amelia Gough, Sidney Street, Erskineville, Sydney, New South Wales |
| Enlistment date | 29 August 1917 |
| Date of enlistment from Nominal Roll | 24 August 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
