| Regimental number | 3104 |
| Place of birth | Tamworth New South Wales |
| Religion | Presbyterian |
| Occupation | Coal wheeler |
| Address | Woonoona, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Friend, Mrs Elizabeth Sheppard, Stanhope Street, Woonoona, New South Wales |
| Enlistment date | 9 April 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
