| Regimental number | 2631 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Machinist |
| Address | Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs. Fanny Fielder, Black Forest, South Australia |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 18th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A13 Katuna on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 22 January 1917 |
