| Regimental number | 3661 |
| Religion | Church of England |
| Occupation | Student |
| Address | 19 Belgrave Street, Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Kathleen Lilian Hearn, 19 Belgrave Street, Manly, New South Wales |
| Enlistment date | 11 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Field Ambulance |
| Fate | Returned to Australia 1 January 1919 |
| Date of death | 24 April 1958 |
| Place of burial | Northern Suburbs Crematorium |
