| Regimental number | 90 |
| Place of birth | Bradford, Yorkshire, England |
| Religion | Church of England |
| Occupation | Wool classer |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mother, Mrs M E Rogers Laurel Bank, Bangor, North Wales |
| Enlistment date | 21 September 1914 |
| Place of enlistment | Townsville, Queensland |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A34 Persic on 21 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
