| Regimental number | 1003 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Murwillumbah, Tweed Heads, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Mrs Freeman, South Murwillumbah, Tweed Heads, New South Wales |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A63 Karoola on 12 June 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 27 June 1919 |
