| Regimental number | 964 |
| Place of birth | Melbourne Victoria |
| Occupation | Labourer |
| Marital status | Single |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Corps Cyclists' Battalion |
| Fate | Returned to Australia |
| Medals |
Medaille militaire (France_ Source: 'Commonwealth Gazette' No. 30 Date: |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |