| Regimental number | 615 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Agent |
| Address | Dubbo, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Ida Gwendoline Kelk, Dubbo, New South Wales |
| Enlistment date | 22 April 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 13 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 8 May 1916 |
