| Regimental number | 15658 |
| Place of birth | Christchurch New Zealand |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 'Maraham', Croydon Street, Lakemba, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs A Hord, 'Maraham', Croydon Street, Lakemba, Sydney, New South Wales |
| Enlistment date | 8 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 5 |
| AWM Embarkation Roll number | 25/90/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 1 July 1919 |
