
| Regimental number | 2402 |
| Place of birth | Windsor Victoria |
| Religion | Church of England |
| Occupation | School teacher |
| Address | 2 Wright Street, Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Florence May Lines, 2 Wright Street, Brighton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A53 Itria on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Promotions |
2nd Lieutenant Unit: LH4 Promotion date: |
| Fate | Returned to Australia |