| Regimental number | 3407 |
| Place of birth | Barcaldine, Queensland |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Barcaldine Downs, Saltern Siding, Queensland |
| Marital status | Married |
| Age at embarkation | 18 |
| Next of kin | Wife, Mrs A G Rodgers, Carcaldine Downs, Sazltern Siding, Queensland |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
