| Occupation | Farmer |
| Address | 'Glenmore', Camden, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister-in-Law, Mrs Alice Maud Roberts, 'Glenmore', Camden, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 4th Light Horse Brigade, Ammunition Reserve, 4th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |