| Regimental number | 2963 |
| Place of birth | Molong New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 'The Shades', Molong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ada Beadle, 'The Shades', Molong, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 19 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 28 December 1917 |
