| Regimental number | 1431A |
| Place of birth | Melbourne Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs. Annie Hogan, West Portland, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, c/o Mrs. Annie Hogan, West Portland, Victoria |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on 27 October 1915 |
| Rank from Nominal Roll | Private |