| Regimental number | 3773 |
| Place of birth | Necarbo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Eurolie, Hay, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs M C Coles, Lang Street, South Hay, New South Wales |
| Enlistment date | 7 May 1917 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 35th Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Fate | No details of fate entered on Nominal Roll |
