| Regimental number | 2019 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coomberan Park, Caroar, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Frank Sheriff, Coomberan Park, Caroar, New South Wales |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A57 Malakuta on 16 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |