| Regimental number | 2965 |
| Place of birth | Ipswich Queensland |
| Religion | Methodist |
| Occupation | Selector |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ethel Jane Seymour, Biggenden PO, Biggenden, Queensland |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga on 12 September 1916 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 16 March 1919 |
