| Regimental number | 1497 |
| Place of birth | Launceston Tasmania |
| Religion | Baptist |
| Occupation | Mechanic |
| Address | c/o Mrs W Staveley, Robert Street, Sandwell, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | W H Jordan, Mead Street, Sandwell, South Australia |
| Enlistment date | 9 December 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Cyclists Battalion |
| Fate | Returned to Australia 7 February 1919 |