| Regimental number | 1261 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Mallanganee via Casino, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Mrs Mary Jane Piper, Mallanganee via Casino, New South Wales |
| Enlistment date | 9 June 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on 17 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
