| Regimental number | 783 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Stighty, Victoria |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mrs Bateman, 35 Tyrone Street, South Yarra, Victoria |
| Enlistment date | 4 December 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 3rd Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A4 Pera on 8 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 29 January 1916 |
