| Regimental number | 2101 |
| Place of birth | Tunbridge Wells England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Binnum, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss Grace Dann, 3 Glanville Road, Tunbridge Wells, Kent, England |
| Enlistment date | 19 November 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/14/4 |
| 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 | 4th Battalion |
| Fate | Returned to Australia 22 July 1918 |
