| Regimental number | 1602 |
| Place of birth | Gympie Queensland |
| Religion | Roman Catholic |
| Occupation | Jockey |
| Address | Mary Street, Gympie, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Long, Mary Street, Gympie, Queensland |
| Enlistment date | 6 October 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Light Horse Field Ambulance |
| Fate | Returned to Australia 9 February 1919 |