| Regimental number | 2009 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mead Street, Peterhead, South Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs. Lucy Cardine Dickenson, Mead Street, Peterhead, South Australia |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on 10 February 1916 |
| Regimental number from Nominal Roll | 2009A |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia 18 January 1919 |
