| Regimental number | 1991 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Blacksmith, loco works |
| Address | Union Road, Auburn |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Emma Horner, Auburn, New South Wales |
| Enlistment date | 19 January 1915 |
| Date of enlistment from Nominal Roll | 10 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Tropical Force, Australian Naval & Military Expeditionary Force |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Eastern on 25 January 1915 |
| Regimental number from Nominal Roll | 17041 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 20 April 1919 |
