| Regimental number | 6116 |
| Place of birth | Cheltenham, England |
| Religion | Church of England |
| Occupation | Bread carter |
| Address | Chalwath Gate near Uckfield, Sussex, England |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Ella Burrows,Chalwath Gate, near Uckfield, Sussex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Moldavia on |
| Regimental number from Nominal Roll | 1616 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |