| Regimental number | 4221 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Deck hand |
| Address | 57 Ridge Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Miss R Marshall, 57 Ridge Street, North Sydney, New South Wales |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
