| Regimental number | 4623 |
| Place of birth | Ferntree Gully, Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs I Campbell, Fern Gully, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs I Campbell, Ferntree Gully, Victoria |
| Enlistment date | 27 August 1917 |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 15 June 1919 |