| Regimental number | 2836 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 94 Gore Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Charlotte Lee, 94 Gore Street, Fitzroy, Victoria |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia 4 June 1919 |
