| Regimental number | 4 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Trangie, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs S Bates, Trangie, New South Wales |
| Enlistment date | 15 February 1915 |
| Rank on enlistment | Private |
| Unit name | Light Horse Brigade 4, Ammunition Reserve |
| AWM Embarkation Roll number | 25/110/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on 22 June 1915 |
| Regimental number from Nominal Roll | 8812 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Australian Motor Transport Company |
| Fate | Returned to Australia 24 July 1919 |
