| Regimental number | 3001 |
| Place of birth | Rapid Bay, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Delamere, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Miss Alice Norman, Delamere, Rapid Bay, South Australia |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A41 Bakara on 4 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |
| Other details | Medals: British War Medal, Victory Medal |