| Regimental number | 3127 |
| Place of birth | N/A Norfolk Island |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ferney Lane, Norfolk Island, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Agnes Susan Menzies, 73 Underwood Street, Paddington, New South Wales |
| Enlistment date | 4 November 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 16 March 1919 |