| Regimental number | 1962 |
| Place of birth | Cooma New South Wales |
| Religion | Roman Catholic |
| Occupation | Drover |
| Address | Fitzroy Street, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. Catherine Wall, Fitzroy Street, Goulburn, New South Wales |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 15 January 1919 |