| Regimental number | 21 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Friend, Mrs Probst, Woods Avenue, Hurstville, New South Wales |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/17/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A58 Kabinga on 12 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 12 July 1918 |
