| Regimental number | 1248 |
| Place of birth | Gaffneys Creek Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | Gaffney's Creek, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Jefferies, Gaffney's Creek, Victoria |
| Enlistment date | 8 July 1915 |
| Date of enlistment from Nominal Roll | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |
