| Regimental number | 64307 |
| Place of birth | Staffordshire England |
| Age at embarkation | 18 |
| Enlistment date | |
| Unit name | 6th General Service Reinforcements (Queensland) (Egypt) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Malta on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia |