| Regimental number | 2019 |
| Place of birth | Marden Kent England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Burnett Street, Ballina, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Polly Beach, Tintenbar PO, Tintenbar, Richmond River, New South Wales |
| Enlistment date | 8 November 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 2, Squadron 7 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Orontes on 10 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Remount Unit |
| Fate | Returned to Australia 9 July 1919 |
