| Regimental number | 1072 |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Golders Green, London, NW, England |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Miss F Stevens, Golders Green, London, NW, England |
| Enlistment date | 26 May 1915 |
| Rank on enlistment | Lieutenant |
| Unit name | 11th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A69 Warilda on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |