| Regimental number | 2160 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs Helene Nanson, South Street, Broken Hill, New South Wales |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/6/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A26 Armadale on 21 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 24 August 1918 |