| Regimental number | 1574 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Gardener |
| Address | c/o Mrs. Yates, Phillip Street, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Foster Mother, Mary Ann Yates, Phillip Street, Parramatta, New South Wales |
| Enlistment date | 23 September 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 23 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Provost Corps |
| Fate | Effective abroad (still overseas) |