| Regimental number | 2375 |
| Place of birth | Burrawang New South Wales |
| Religion | Church of England |
| Occupation | Tramway guard |
| Address | Ryde, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs I M Irvine, Turner Avenue, Ryde, Sydney, New South Wales |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 26 July 1919 |
