| Regimental number | 1594 |
| Place of birth | Ballina New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Teven Creek, Ballina R R, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Friend, Mrs Maxwell, Teven Creek, Ballina R R, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Military Medal (Awarded) Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 23 Date: |