| Regimental number | 3616 |
| Place of birth | Wollongong New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 59 Seymour Street, Bathurst, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Elizabeth Myrtle May Makin, 13 Gibbs Street, Newtown, Sydney, New South Wales |
| Enlistment date | 30 April 1917 |
| Date of enlistment from Nominal Roll | 27 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
