| Regimental number | 3188 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Clangamna, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. M.J. Padgett, Buida, via Crookwell, New South Wales |
| Enlistment date | 18 January 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
