| Regimental number | 916 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Engineer |
| Marital status | Single |
| Age at embarkation | 31 |
| Enlistment date | 15 January 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 1 April 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Effective abroad (still overseas) |
