| Regimental number | 111 |
| Place of birth | Cape Town South Africa |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Cecilla, (unknown), Johannesburg, South Africa |
| Enlistment date | 22 August 1914 |
| Rank on enlistment | SIG |
| Unit name | 1st Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 11 March 1916 |