| Regimental number | 3139 |
| Place of birth | Sydney, New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | 'Tawarra', Bonnor Avenue, Manly, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Rebecca Hathaway, 'Westwood', Quinton Road, Manly, New South Wales |
| Enlistment date | 31 July 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Signal Troop |
| Fate | Returned to Australia 19 January 1919 |
