| Regimental number | 3356 |
| Place of birth | London, England |
| Religion | Roman Catholic |
| Occupation | Painter |
| Address | Coolamon, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Charlotte Ballard, Coolamon, New South Wales |
| Enlistment date | 5 April 1917 |
| Date of enlistment from Nominal Roll | 24 December 1914 |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |
