| Regimental number | 16707 |
| Place of birth | Fitzroy Victoria |
| Religion | Church of England |
| Occupation | Chemist |
| Address | 10 Union Street, Windsor, Victoria |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Marie Leontine Long, 'Blon', Hotham Street, Elsternwick, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 23rd Reinforcement |
| AWM Embarkation Roll number | 26/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A25 Anglo-Egyptian on 31 January 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |
