| Regimental number | 629 |
| Place of birth | Exmouth England |
| Religion | Congregational |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Step-Mother, Mrs. Alice Grigg, 72 Weston Street, Swansea, England |
| Enlistment date | 11 September 1914 |
| Date of enlistment from Nominal Roll | 1 April 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Newcastle, New South Wales, on board HMAT A36 Thirty Six on 21 December 1914 |
| Regimental number from Nominal Roll | 2946 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |
| Miscellaneous details (Nominal Roll) | Enlisted twice |
