| Regimental number | 3411 |
| Place of birth | Nowra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Kyogle, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs M Wingfield, Kyogle, New South Wales |
| Enlistment date | 19 May 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
