| Regimental number | 109 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, Henry Bayliss, Bollan, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Infantry Brigade Headquarters |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
