| Regimental number | 19 |
| Religion | Church of England |
| Occupation | Verteran trainer |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Richard Mason, corner of Forbes and Best Streets, East Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 9th Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A10 Karroo on |
| Fate | No details of fate entered on Nominal Roll |