| Regimental number | 3191 |
| Place of birth | Croydon Queensland |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Blackboy Hill, Western Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Selina Merry, Perth GPO, Perth, Western Australia |
| Enlistment date | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Karmala on 12 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AMTD |
| Fate | Returned to Australia 5 March 1919 |
