| Regimental number | 1612 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Goolwa, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Elizabeth Trelevan, Goolwa, South Australia |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 18 November 1915 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 5th Division Artillery |
| Fate | Effective abroad (still overseas) |
