| Regimental number | 3517 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Sunbury, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs Annie Sleeth, Sunbury, Victoria |
| Enlistment date | 21 February 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 3 July 1919 |
| Other details | Medals: British War Medal, Victory Medal |