| Regimental number | 2165 |
| Place of birth | Cardiff Wales |
| Religion | Presbyterian |
| Occupation | Bricklayer |
| Address | Jervois Street, Hawthorn, South Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs. Margaret Crook, Jervois Street, Hawthorne, South Australia |
| Enlistment date | 20 November 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 16 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 13 April 1917 |