| Regimental number | 3652 |
| Place of birth | Zeehan Tasmania |
| Religion | Methodist |
| Occupation | Blacksmith |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M Hancock, No. 1 Burt Street, Northcote, Victoria |
| Enlistment date | 30 May 1917 |
| Date of enlistment from Nominal Roll | 3 February 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 22 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 16 January 1919 |
