| Regimental number | 627 |
| Place of birth | Lewis England |
| Religion | Church of England |
| Occupation | Station hand |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Veness, 3 Southdown Road, Preston Park, Brighton, Sussex, England |
| Enlistment date | 3 September 1914 |
| Rank on enlistment | Corporal |
| Unit name | 1st Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 20 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |