| Regimental number | 1539 |
| Place of birth | Oamaru, New Zealand |
| Religion | Church of England |
| Occupation | Veterinary dresser |
| Address | Walter Derrett, Woy Woy, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs. Emily Long, Berkley, Cromwell Road, Mt. Eden, Auckland, NZ |
| Enlistment date | 27 September 1915 |
| Date of enlistment from Nominal Roll | 28 September 1915 |
| Place of enlistment | Dubbo, New South Wales |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 23 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 17 August 1916 |
