| Regimental number | 2386 |
| Place of birth | Daylesford Victoria |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs Eleanor Jewell, 194 Brunswick Road, Brunswick, Victoria |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Returned to Australia 5 March 1919 |
