| Regimental number | 2101 |
| Place of birth | Barraba New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Northern Club Hotel, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Catherine Margaret Hagan, Barraba, New South Wales |
| Enlistment date | 16 January 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Signal Squadron |
| Fate | Returned to Australia 29 April 1919 |
| Other details | Medals: British War Medal, Victory Medal |