| Regimental number | 2996 |
| Place of birth | Kangarilla, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kangarilla, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Lizzie Blythman, Kangarilla, South Australia |
| Enlistment date | 25 April 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A65 Clan Mcewan on 9 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 4 March 1919 |
| Other details | Medals: British War Medal, Victory Medal |
