| Regimental number | 1781 |
| Religion | Church of England |
| Occupation | Carter |
| Address | 1 Pritchard Street, Marrickville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Ellen Esther Thistlewaite, 1 Pritchard Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 15 March 1915 |
| Date of enlistment from Nominal Roll | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| 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 | 12th Light Horse Regiment |
| Fate | Returned to Australia 22 January 1917 |
