| Regimental number | 3822 |
| Place of birth | Singleton New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Concord, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Florence Hornery, Terri Roug, Burton Street, Concord, New South Wales |
| Enlistment date | 8 March 1916 |
| Date of enlistment from Nominal Roll | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 18 January 1919 |