| Regimental number | 5027 |
| Place of birth | Medowie South Australia |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | 26 Boussole Road, Daceyville, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Emily Mary Long, 26 Boussole Road, Daceyville, New South Wales |
| Enlistment date | 29 May 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 9 |
| AWM Embarkation Roll number | 13/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 25th Field Artillery Brigade |
| Fate | Returned to Australia 13 February 1917 |
