| Regimental number | 1919 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Red Hill, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss Edith Shaw c/o Mrs J Lindo, Musgrave Road, Red Hill, Brisbane, Queensland |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A36 Boonah on 22 January 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | a PROV C |
| Fate | Returned to Australia 3 July 1919 |