| Regimental number | 628 |
| Place of birth | Thelma Sweden |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Mrs. Emily Patterson, William Street, Rosewater |
| Enlistment date | 23 October 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Newcastle, New South Wales, on board HMAT A36 Thirty Six on 21 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |