| Regimental number | 3412 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Lillas Street, North Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs. Maria Earnshaw, c/o Mrs. Chillock, Tennyson avenue, Turramurra, New South Wales |
| Enlistment date | 14 April 1917 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Effective abroad (still overseas) |
