| Regimental number | 3026 |
| Place of birth | Wallangra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wallangra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Friend, Mrs John Cook, Castle Doyle, Armidale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A13 Katuna on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 185 Date: |