| Regimental number | 1217 |
| Place of birth | North Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Grey Street off Waymouth Street, Adeliade, South Australia |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs. Ann Mounsey, Grey Street off Waymouth Street, Adelaide, South Australia |
| Enlistment date | 17 April 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 21 November 1916 |