| Regimental number | 184 |
| Religion | Church of England |
| Occupation | Porter |
| Address | Kingower, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | F H Douglass, Kingower, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/18/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A34 Persic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |