| Regimental number | 9979 |
| Place of birth | At sea |
| Religion | Presbyterian |
| Occupation | Master mariner |
| Address | 2 Forest Road, Double Bay, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs M Richardson, c/o John Herron & Co. Liverpool, England |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | Light Horse Brigade Train 1, Reinforcement 17 |
| AWM Embarkation Roll number | 25/95/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A10 Karroo on 5 May 1916 |
| Fate | No details of fate entered on Nominal Roll |
