| Regimental number | 614 |
| Place of birth | Vinatail India |
| Occupation | Stock agent |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mr R R Urquhart, Boonerah, Hexham, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A10 Karroo on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Mention in Despatches Recommendation date: Unspecified Recommendation date: |
| Fate | Returned to Australia |