| Regimental number | 279 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Derby Street, Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Thos. Gragen, Derby Street, Semaphore, South Australia |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 22 October 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
