| Regimental number | 1049 |
| Place of birth | Hazelgrove New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Granville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, George Moore, Sydney Road, Granville, New South Wales |
| Enlistment date | 20 January 1916 |
| Date of enlistment from Nominal Roll | 7 January 1916 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Morea on 27 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 29 April 1919 |
