| Regimental number | 623 |
| Place of birth | Collingwood Victoria |
| Religion | Protestant |
| Occupation | Miner |
| Address | 28 Ford Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs J Stallard, 28 Ford Street, Brunswick, Victoria |
| Enlistment date | 2 November 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A34 Persic on 21 December 1914 |
| Regimental number from Nominal Roll | 623A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 8 October 1918 |
