| Regimental number | 1109 |
| Place of birth | Coonabarabran New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | New Angledool, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs. Jessie May Pearson, New Angledool, New South Wales |
| Enlistment date | 23 March 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A21 Marere on 16 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
