| Regimental number | *113 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Q G S Otter, Moreton Bay, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mrs G Chase, Hilltop, New South Wales |
| Enlistment date | 20 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 5th Company Army Service Corps, 1st Light Horse Brigade Train |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Omrah on 24 September 1914 |
| Regimental number from Nominal Roll | 113 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | No 5 Company, Australian Army Service Corps |
| Fate | Returned to Australia 1 April 1919 |
