| Regimental number | 661 |
| Place of birth | Port Lincoln South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Naracoorte, South Australia |
| Marital status | Married |
| Age at embarkation | 47 |
| Next of kin | Wife, Mrs Mary Medlen, Naracoorte, South Australia |
| Enlistment date | 22 September 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 3 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 1 February 1918 |
