| Regimental number | 1874 |
| Place of birth | Sale Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 41 Bromide Street, Broken Hill, New South Wales |
| Marital status | Widower |
| Age at embarkation | 44 |
| Next of kin | Sister, Miss Octavio Kate MacKenzie, Geelong, Victoria |
| Enlistment date | 8 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Regimental number from Nominal Roll | 1874A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 4 May 1917 |
