| Regimental number | 1689 |
| Place of birth | Collie New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coolie via Gilgandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Coolie via Gilgandra, New South Wales |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Regimental number from Nominal Roll | 1689A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 15 May 1919 |