| Regimental number | 1012 |
| Place of birth | Manchester England |
| Religion | Baptist |
| Occupation | Dairyman |
| Address | Mayfair Street, Maylands, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs. Fanny Betts, Mayfair Street, Maylands, South Australia |
| Enlistment date | 29 December 1914 |
| Date of enlistment from Nominal Roll | 4 January 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 13 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 2 September 1916 |
