| Regimental number | 1717 |
| Place of birth | London England |
| Religion | Roman Catholic |
| Occupation | Printer |
| Address | Carters Boarding house, Wharf Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Miss Elizabeth Rose, Peabody Buildings, Glass House Street, London East, England |
| Enlistment date | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 21 October 1915 |
| Regimental number from Nominal Roll | 1717A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 15 May 1919 |
