| Regimental number | 821 |
| Place of birth | Wakefield England |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | 28 Forth Street, Chopwell, Durham, England |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Horner, 28 Forth Street, Chopwell, Durham, England |
| Enlistment date | 23 November 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance |
| AWM Embarkation Roll number | 26/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on 2 February 1915 |
| Fate | No details of fate entered on Nominal Roll |
