| Regimental number | 3894 |
| Place of birth | Frankford Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Burnie, Tasmania |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Emma Metcalf, Burnie, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |