| Regimental number | 2 |
| Place of birth | Toowoomba Queensland |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | SQSM |
| Unit name | 5th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mongolia on |
| Rank from Nominal Roll | RSM |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |