| Regimental number | 2657 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 'Florence', Keiran Street, Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Mrs Isabella Siekirk, 'Florence', Keiran Street, Waverley, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Brigade Machine Gun Squadron |
| Fate | Returned to Australia 11 July 1917 |