| Regimental number | 2030 |
| Place of birth | Corentin England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Florence Olivia Norris, 26 Little Cardigan Street, Carlton, Victoria |
| Enlistment date | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 15 February 1918 |