
| Regimental number | 2166 |
| Religion | Congregational |
| Occupation | Plumber |
| Address | 'Belmont', Bowmer Street, Banksia, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Aunt, Mrs. Mary McCarthy, 'Belmont,' Bowmer Street, Banksia, New South Wales |
| 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 | Corporal |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Recommendations (Medals and Awards) |
Mention in Despatches Recommendation date: |
| Fate | Returned to Australia |