| Regimental number | 2634 |
| Place of birth | Gawler South Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Drayton Street, Bowden, South Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Selina Jane Myers, Drayton Street, Bowden, South Australia |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Reinforcement 4 |
| AWM Embarkation Roll number | 28/2/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Barunga on 6 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Remount Unit |
| Fate | Returned to Australia 2 September 1916 |