| Regimental number | 3196 |
| Place of birth | Hunters Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Ethel Mary Watson, Coleman's Lane, Lismore, New South Wales |
| Enlistment date | 23 November 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 12 November 1917 |