| Regimental number | 3676 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Cousin, William Tindall, West Wyalong, New South Wales |
| Enlistment date | 11 May 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 1 January 1919 |
