| Regimental number | 3648 |
| Place of birth | Warren New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | PO, Warren, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Jessie Rita Brain, Short Street, Homebush, New South Wales |
| Enlistment date | 14 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 | Effective abroad (still overseas) |
