| Regimental number | 2963 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Braybrook, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Ethel May Crothers, Braybrook, Victoria |
| Enlistment date | 5 June 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on 12 September 1916 |
| Regimental number from Nominal Roll | 2940 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia 26 July 1919 |
