| Regimental number | 2817 |
| Place of birth | Goolwa South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mill Street, Clarence Park, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Amelia Elizabeth Maidment, Katoomba Street, Katoomba, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |