| Regimental number | 2017 |
| Place of birth | Wilmington South Australia |
| Religion | Methodist |
| Occupation | Traveller |
| Address | Military Road, Semaphore, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. Hannah Hettie George, Military Road, Semaphore, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
