| Regimental number | 1490 |
| Place of birth | Casterton Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs. M. Richardson, Henty Street, Casterton, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. Mary Richardson, Henry Street, Casterton, Victoria |
| Enlistment date | 29 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 27 October 1915 |
