| Regimental number | 1773 |
| Place of birth | Noosa Queensland |
| Religion | Church of England |
| Occupation | Metal worker |
| Address | Short Street, Kangaroo Point, Brisbane, Queensland |
| Marital status | Sq |
| Age at embarkation | 18 |
| Next of kin | Grandparent, Clause Nielson, Short Street, Kangaroo Point, Brisbane, Queensland |
| Enlistment date | 6 November 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
