| Regimental number | 1441 |
| Religion | Presbyterian |
| Occupation | Farm hand |
| Address | Koo-wee-rup, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs R Ryan, 38 Lincoln Road, Essendon, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on |
| Fate | No details of fate entered on Nominal Roll |