| Regimental number | 3503 |
| Religion | Presbyterian |
| Occupation | Horse breaker |
| Address | 130 Bourke Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Mrs. Mary Shepherd, 130 Bourke Street, Melbourne, Victoria |
| Enlistment date | 29 June 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 16 January 1919 |