| Regimental number | 216 |
| Place of birth | Reading England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Pinnacle, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs E Lick, Pinnacle, Mackay, Queensland |
| Enlistment date | 19 February 1915 |
| Rank on enlistment | Driver |
| Unit name | 11th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/16/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on 2 June 1915 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 16 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 21 January 1916 |