| Regimental number | 882 |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Forbes PO, Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs W F Thailer, Forbes PO, Forbes, New South Wales |
| Enlistment date | 15 March 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A51 Chilka on 26 June 1915 |
| Date of embarkation incorrectly listed on Embarkation Roll as 7 June 1915. |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
