| Regimental number | 995 |
| Place of birth | Young New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Grenfell Road, Young, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Uncle, Edward Whitehead, Grenfell Road, Young, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, 4th Reinforcement |
| AWM Embarkation Roll number | 10/17/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | LH12REIN4 |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
