| Regimental number | 30 |
| Place of birth | Wellington New Zealand |
| Religion | Church of England |
| Occupation | Seaman |
| Age at embarkation | 23 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Brigade, Headquarters |
| AWM Embarkation Roll number | 10/3/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A16 Star Of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Light Horse Regiment |
| Fate | Returned to Australia |