| Regimental number | 3179 |
| Place of birth | Port Augusta South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Petina, West Coast, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Anna Penna, Petina, West Coast, South Australia |
| Enlistment date | 19 December 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 26th Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Morea on 20 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 28 December 1917 |
