| Regimental number | 14553 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Electroplater |
| Address | 116 Danks Street, Albert Park, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Elsie Newsome, 176 Danks Street, South Melbourne, Victoria |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 19th Reinforcement |
| AWM Embarkation Roll number | 26/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Mongolia on 11 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 21 May 1917 |