| Regimental number | 3678 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 254 Catherine Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Miss Hilda Rees, 13 Charlotte Street, Hyde Park, Sydney, New South Wales |
| Enlistment date | 2 October 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
| Other details | Medals: British War Medal, Victory Medal |
