| Regimental number | 3651 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Colt-breaker |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Elizabeth Guy, Rockwell Street, Broken Hill, New South Wales |
| Enlistment date | 9 August 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 14 March 1919 |
