| Regimental number | 2221 |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs. G. Daisy Ballard, Archer Street, Rockhampton, Queensland |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/7/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |