| Regimental number | 153 |
| Place of birth | Criccieth Wales |
| Religion | Church of England |
| Occupation | Brewer |
| Address | 65 Palmerston Crescent, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 49 |
| Next of kin | Wife, Mrs Edith Emily Stacey, 65 Palmerston Crescent, South Melbourne, Victoria |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 1 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on 12 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Remounts |
| Fate | Returned to Australia 10 July 1916 |
