| Regimental number | 1648 |
| Religion | Methodist |
| Occupation | Teamster |
| Address | Greenbushes, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Nurse Cecil Margaret Richardson, Greenbushes, Western Australia |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT RMS Mongolia on 22 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |