| Regimental number | 2821 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 204 Henderson Road, Alexandria, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Louisa Margret kindade, 204 Henderson Road, Alexandria, Sydney, New South Wales |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on 8 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
