| Regimental number | 3184 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 513 Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M. Booth, William Street, Condobolin, New South Wales |
| Enlistment date | 12 January 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 12 July 1918 |