| Regimental number | 3691 |
| Place of birth | Monaro New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Warrackbeal, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Mrs G Seears, Monara, New South Wales |
| Enlistment date | 25 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 20 December 1917 |
