| Regimental number | 2162 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Porter |
| Address | Lake Charm, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Uncle, W. Simms, Lake Charm, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Pera on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |