| Regimental number | 1883 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | Bangalow, Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Margaret Harley, Bangalow, Lismore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Recommendations (Medals and Awards) |
Croix de Guerre (Belgium) Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 91 Date: |