| Regimental number | 3003 |
| Place of birth | Western Creek Queensland |
| Religion | Methodist |
| Occupation | Baker |
| Address | Toowoomba, Jqld |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Elizabeth Ann Kirkup, C/o Mrs F Dore, sen., Pittsworth, Queensland |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A43 Barunga on 26 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 5 March 1919 |
