
| Regimental number | 525 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lower Mitcham, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | J. Mills, Broadford, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |