
| Regimental number | 167 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Smithfield, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs. Ada Moss, Smithfield, South Australia |
| 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 |