| Regimental number | 4143 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | 113 Henderson Road, Alexandria, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Fanny Hall, 113 Henderson Road, Alexandria, New South Wales |
| Enlistment date | 6 June 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 23 December 1918 |
