| Regimental number | 1365 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Murrats Creek, Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Rasmussen, Rosedale, North Coast Line |
| Enlistment date | 31 August 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 23 October 1915 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 18 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |