| Regimental number | 64317 |
| Occupation | Farmer |
| Age at embarkation | 23 |
| Enlistment date | |
| Rank on enlistment | Private |
| 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 | 2nd Light Horse Regiment |
| Fate | Returned to Australia |