| Regimental number | 1167 |
| Occupation | State school teacher |
| Marital status | Single |
| Age at embarkation | 27 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on |
| Fate | No details of fate entered on Nominal Roll |