| Regimental number | 965 |
| Place of birth | Leicester England |
| Religion | Roman Catholic |
| Occupation | Bootmaker |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sarah Rainer, 1 Royal Kent Street, Leicester, England |
| Enlistment date | 2 December 1915 |
| Rank on enlistment | Sergeant |
| Unit name | 4th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 7 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
