| Regimental number | 1111 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Guildford Road, Redcliffe, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Hary Ann Rivers, Guildford Road, Redcliffe, Western Australia |
| Enlistment date | 11 March 1915 |
| Date of enlistment from Nominal Roll | 6 March 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A61 Kanowna on 30 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 3 September 1915 |