| Regimental number | 813 |
| Place of birth | Parramatta New South Wales |
| Religion | Roman Catholic |
| Occupation | Police constable |
| Address | Police station, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Grace Edith Elworthy, Burwood Superior Public School, Burwood, Sydney, New South Wales |
| Enlistment date | 19 May 1915 |
| Date of enlistment from Nominal Roll | 19 May 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | a Prov Corps |
| Fate | Returned to Australia 28 August 1919 |
