| Regimental number | 1975 |
| Place of birth | Queensland |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Wattamindarra PO,Wattamindarra via Cowra, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Uncle, George Bassett, Wattamindarra PO, Wattamindarra via Cowra, New South Wales |
| Enlistment date | 1 October 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Signal Troop Engineers |
| Fate | Returned to Australia 26 July 1919 |
