| Regimental number | 2492 |
| Place of birth | Brewarrina New South Wales |
| Religion | Church of England |
| Occupation | Coach driver |
| Address | Collarendabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Agnes Stallworthy, PO, Brewarrina, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 17th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A39 Port Macquarie on 26 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 12 June 1919 |
