| Regimental number | 613 |
| Place of birth | Shepparton Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Box 13, Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, c/o Mr. Palmer, Barwite via Mansfield |
| Enlistment date | 12 November 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 12 February 1915 |
| Regimental number from Nominal Roll | 6B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |