| Regimental number | 1346 |
| Religion | Church of England |
| Occupation | Farrier |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Mrs. E. Breasley, c/o Mobbs and Coy., Parramatta, New South Wales |
| Rank on enlistment | TPR |
| Unit name | 9th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on |
| Fate | No details of fate entered on Nominal Roll |