| Regimental number | 2996 |
| Place of birth | Croydon New South Wales |
| Religion | Church of England |
| Occupation | Engine driver and fireman |
| Address | North Dorrigo, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Kathleen Florence Dale, C/o J A Hilder, Dorrigo PO, New South Wales |
| Enlistment date | 12 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A13 Katuna on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 1 January 1919 |