| Regimental number | 1855 |
| Place of birth | Streaky Bay South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Streaky Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss Christina Rose Feltus, Streaky Bay, South Australia |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 22 May 1919 |
