| Regimental number | 623 |
| Place of birth | Orbost Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Orbost PO, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | John Feltis, Orbost, Victoria |
| Enlistment date | 5 November 1914 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 15 November 1918 |
