| Regimental number | 6484 |
| Place of birth | Wallangra New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | c/o Dibbs Parker and Parker, solicitors, Wynyard Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Mrs R A Black, c/o Dibbs Parker and Parker, solicitors, Wynyard Street, Sydney, New South Wales |
| Enlistment date | 27 April 1915 |
| Rank on enlistment | Motor car driver |
| Unit name | Infantry Brigade Train 7, Company 17 |
| AWM Embarkation Roll number | 25/36/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on 24 May 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | No 7 Company, Australian Army Service Corps, Motor Transport Section |
| Fate | Returned to Australia 30 June 1918 |
