| Regimental number | 1193 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Saddler |
| Address | West Tamworth, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Everingham, West Tamworth, New South Wales |
| Previous military service | 13th Infantry |
| Enlistment date | 25 May 1916 |
| Date of enlistment from Nominal Roll | 5 June 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 19 August 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 24 July 1919 |
