| Regimental number | 2836 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coaldale, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Friend, Mrs May Gribble, same address |
| Enlistment date | 13 January 1916 |
| Date of enlistment from Nominal Roll | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Division Train DEP AMD |
| Fate | Returned to Australia 28 June 1919 |
