| Regimental number | 697 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Mollineaux, Derby, England |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mrs Elsie W Clark, 40 Wood Street, Greenfield, Shrewsbury, Salop, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A44 Vestalia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |