| Regimental number | 1191 |
| Place of birth | Lefroy Tasmania |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 452 City Road, South Melboure, Victoria |
| Marital status | Sq |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Marion Owen, 452 City Road, South Melboure, Victoria |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on 26 October 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 22nd CORPS Light Horse |
| Fate | Returned to Australia 12 May 1918 |
