| Regimental number | 869 |
| Place of birth | Bowden South Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | Bowden, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. E. Beaumont, Gilbert Street, Bowden, South Australia |
| Enlistment date | 17 December 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A65 Clan Mcewan on 9 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 21 May 1917 |
