| Regimental number | 19032 |
| Place of birth | Bellingen |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Bellingen, New South Wales |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs I L A Rose, c/o P O Thora, Bellingen, New South Wales |
| Enlistment date | 5 July 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 16 May 1919 |