| Regimental number | 3348 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Trooper |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs. Margaret Kelly, c/o Miss N. Walker, Strathdownie, Victoria |
| Enlistment date | 22 December 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 22 June 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on 7 September 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 5 March 1919 |
