| Regimental number | 2643 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Many Peaks, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Step-Mother, Mrs Annah Harman, May Street, Red Hill, Brisbane, Queensland |
| Enlistment date | 11 December 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, C Company |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |