| Regimental number | 1923 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emily Flynn, Thompson Brook via Donnybrook, Western Australia |
| Enlistment date | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 17 January 1916 |
| Miscellaneous details (Nominal Roll) | crossed out |