| Regimental number | 2010 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Hughenden, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs Edith Northwood, South Townsville, Queensland |
| Enlistment date | 15 April 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A65 Clan Macewan on 9 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 21 January 1917 |
