| Regimental number | 79 |
| Place of birth | London England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 125 Stokes Street, Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Mrs A. Clissold, 376 Bay Street, Port Melbourne, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A18 Wiltshire on 19 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Light Horse Regiment |
| Fate | Returned to Australia 15 September 1918 |
