| Regimental number | 1602 |
| Place of birth | Devon England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Alphington, Exeter, Devon, England |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Harriet Kevern, Alphington, Exeter, Devon, England |
| Enlistment date | 20 September 1915 |
| Date of enlistment from Nominal Roll | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Moldavia on 2 October 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 6 September 1919 |