| Regimental number | 112 |
| Place of birth | Glenorchy Victoria |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Glenorchy, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs Elizabeth Kelly, Glenorchy, Victoria |
| Enlistment date | 17 September 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, A Squadron |
| AWM Embarkation Roll number | 26/39/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A27 Southern on 23 September 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 15 November 1918 |
