| Regimental number | 1779 |
| Place of birth | Reading England |
| Religion | Church of England |
| Occupation | Bookkeeper |
| Address | Henussier Terrace, Towood, Milton, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Annie Elizabeth Harriss, Henussier Terrace, Towood, Milton, Brisbane, Queensland |
| Enlistment date | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a GEN BASE DEP |
| Fate | Returned to Australia 18 January 1919 |
