| Regimental number | 2503 |
| Place of birth | Drouin Victoria |
| Religion | Church of England |
| Occupation | Bread carter |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Pearl Kingdom, 70 Lennox Street, Richmond, Victoria |
| Enlistment date | 17 August 1917 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/18/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia 10 December 1918 |
