| Regimental number | 1242 |
| Place of birth | Newcastle On Tyne England |
| Religion | Church of England |
| Occupation | Shoeing smith |
| Address | Mannavale Farm near York, Western Australia |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Sarah Scott, 141 Coyners Road, Byker, Newcastle-on-Tyne, England |
| Enlistment date | 28 June 1915 |
| Date of enlistment from Nominal Roll | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 1 October 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 28 December 1917 |
