| Regimental number | 3619 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Wangoon, via Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Friend, Mrs Cecilia Black, 99 Russell Street, Melbourne, Victoria |
| Enlistment date | 10 March 1917 |
| Date of enlistment from Nominal Roll | 10 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 7 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 16 June 1919 |
