| Regimental number | 1790 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Eungai Creek via Kempsey, New South Wales |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs I Locke, Eungai Creek via Kempsey, New South Wales |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 5 March 1919 |
