| Regimental number | 539 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Alphonso Douglas, Macquarie Street, Parramatta, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs H Stafford, Hunter Street, Parramatta, Sydney, New South Wales |
| Enlistment date | 10 February 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, Headquarters |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 13 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 20 January 1916 |
| Date of death | 8 July 1936 |
| Place of burial | Botany Cemetery |
