| Regimental number | 3158 |
| Place of birth | Mexico |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Friend, Mrs Sophie Miller, The Rock, New South Wales |
| Enlistment date | 7 March 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 22 December 1918 |
