| Regimental number | 3021 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Annie Bosanquet, Forest House, Comboyne, New South Wales |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A65 Clan Mcewan on 9 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 16 May 1919 |
