| Regimental number | 503 |
| Place of birth | Ballarat Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 2 Hope Street, Ballarat West, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | R Waller, 2 Hope Street, Ballarat, West, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | a Prov C |
| Fate | Died of wounds |
| Place of burial | No known grave |
| Commemoration details | Jerusalem Memorial, Palestine |
| Panel number, Roll of Honour, Australian War Memorial | 185 |