| Regimental number | 3782 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Timber worker |
| Address | South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Bertha Regina Hetherington, 14 Palermo Street, South Yarra, Victoria |
| Enlistment date | 9 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 29th 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 13 October 1918 |