| Regimental number | 2163 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wyarra, Killarney Line via Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Emily Connew, No 5 The Crescent, Station Road, Walthamstow, England |
| Enlistment date | 3 November 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/10/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Regimental number from Nominal Roll | 21630 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ACamFldAmb |
| Fate | Returned to Australia 23 July 1919 |