| Regimental number | 2638 |
| Place of birth | Emmaville New South Wales |
| Religion | Roman Catholic |
| Occupation | Surveyor's labourer |
| Address | Brown Street, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Gross, No. 1, off Brown Street, Newcastle, New South Wales |
| Enlistment date | 15 January 1916 |
| Date of enlistment from Nominal Roll | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
