| Regimental number | 2176 |
| Place of birth | Beechworth, Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Lytton Defence Reserves |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Eliza Jane Casey, Princess Street, Paddington, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | SQSM |
| Unit name | Australian Remount Unit 2, Squadron 7 |
| AWM Embarkation Roll number | 28/3/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Warrant Officer (Class I) |
| Unit from Nominal Roll | AIF Headquarters |
| Recommendations (Medals and Awards) |
Mention in Despatches Recommendation date: |
| Fate | Returned to Australia |