| Regimental number | 2991 |
| Place of birth | Shrewsbury England |
| Religion | Church of England |
| Occupation | Cab driver |
| Address | Toowoomba, Queensland |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Louise Breese, Toowoomba, Queensland |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A43 Barunga on 26 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 27 June 1919 |
