| Regimental number | 1974 |
| Place of birth | Snowtown South Australia |
| Religion | Church of England |
| Occupation | Horse-driver |
| Address | Hart Street, Glanville, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Burtha Innes, Hart Street, Glanville, South Australia |
| Enlistment date | 3 November 1915 |
| Date of enlistment from Nominal Roll | 8 November 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on 10 February 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 11 December 1918 |
