| Regimental number | 3166 |
| Place of birth | Raymond Terrace New South Wales |
| Religion | Methodist |
| Occupation | Soldier |
| Address | 'Lochinvar', Arden Street, North Coggee, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ilma Blanche Pearn, 'Lochinvar', Arden Street, North Coogee, New South Wales |
| Enlistment date | 16 February 1917 |
| Rank on enlistment | Sergeant |
| Unit name | 1st Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
