| Regimental number | 1552 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 30 |
| 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 |
| Fate | No details of fate entered on Nominal Roll |