| Regimental number | 919 |
| Place of birth | Roebourne Western Australia |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Donnybrook, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Rita Millicent Hackett, Donnybrook, Western Australia |
| Enlistment date | 2 October 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 4 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Squadron |
| Fate | Returned to Australia 29 April 1919 |
