| Regimental number | 618 |
| Religion | Church of England |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Lord Charles Fitzgerald, Fernlea, Riddells Creek, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Effective abroad (still overseas) |