| Regimental number | 2016 |
| Place of birth | Lefroy, Tasmania |
| Religion | Roman Catholic |
| Occupation | Jockey |
| Address | Orange P.O., New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Mrs. Mabel Fisher, Stanley Street, South Warrnambool, Victoria |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia 12 May 1919 |