| Regimental number | 17521 |
| Place of birth | Casino New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Longreach, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Rose Scott, 82 Shadforth Street, Mosman, New South Wales |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Driver |
| Unit name | Cavalry Divisional Signal Squadron 1 |
| AWM Embarkation Roll number | 22/33/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Australian Wireless Signal Squadron |
| Fate | Effective abroad (still overseas) |
