| Regimental number | 3614 |
| Place of birth | Stawell Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 54 Kensington Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Margarette Vivian, 54 Kensington Street, East Perth, Western Australia |
| Enlistment date | 14 August 1917 |
| Date of enlistment from Nominal Roll | 13 August 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS A73 Commonwealth on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 22 December 1918 |
