| Regimental number | 3380 |
| Place of birth | Sydney New South Wales |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Maleny via Landsborough, Jqld |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Maggie Roderick, Maleny via Landsborough, Queensland |
| Enlistment date | 6 March 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 28 June 1919 |