| Regimental number | 867 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Waikerie, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs M McDougall, Waikerie, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Depot Unit of Supply |
| Fate | Returned to Australia |
| Other details |
Re-embarked, Adelaide, South Australia, 23 June 1916, on board HMAT A13 'Katuna', as R867 Private, 9th Light Horse Regiment, 18th Reinforcement. Medals: 1914-15 Star, British War Medal, Victory Medal |