| Regimental number | 2099 |
| Place of birth | Cooma New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Address | 34 Campbell Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Mrs Bernard, 34 Campbell Street, Sydney, New South Wales |
| Enlistment date | 7 April 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 26 July 1919 |