| Regimental number | 1709 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | Piper Street, Lilyfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth Mellor, 142 Wigram Street, Forest Lodge, Sydney, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 23 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Cyclists' Company |
| Fate | Effective abroad (still overseas) |
| Other details | Medals: 1914-15 Star, British War Medal, Victory Medal |