| Regimental number | 1769 |
| Place of birth | Narrandera New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | mO, Mrs Maud Mary Rose Norris, Wyalong, New South Wales |
| Enlistment date | 11 September 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/12/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 1 May 1919 |
