| Regimental number | 1702 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Dental mechanic |
| Address | Dutton Street, Hawthorne, Bulimba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Kennedy, Dutton Street, Hawthorne, Bulimba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | MED26.40.3R11 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia |