| Regimental number | 1549 |
| Place of birth | Black Swamp South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Currency Creek, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss Ruby Heath, Currency Creek, South Australia |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 18 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Company, Imperial Camel Corps |
| Fate | Returned to Australia 21 May 1917 |
