| Regimental number | 2624 |
| Place of birth | Yass New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Harefield, Junee, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs aAice Bell, Harefield, Junee, New South Wales |
| Enlistment date | 21 April 1917 |
| Date of enlistment from Nominal Roll | 19 April 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Squadron |
| Fate | Effective abroad (still overseas) |