| Regimental number | 1278A |
| Place of birth | Gunyah, Victoria |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Glen Forbes, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs F Charville, Glen Forbes, Victoria |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Regimental number from Nominal Roll | 1270 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia 28 January 1919 |
