| Regimental number | 300 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Well borer |
| Address | Lisson Grove Road, Wooloowin, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Step-Mother, Mrs King, Lisson Grove Road, Wooloowin, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |