| Regimental number | 3495 |
| Religion | Church of England |
| Occupation | Fitter |
| Address | Railway Hotel, Mount Morgan, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs. Amy Emmerson, Carrington, Sutherland, via Sydney, New South Wales |
| Enlistment date | 3 September 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
