| Regimental number | 720 |
| Place of birth | Camden Haven New South Wales |
| Religion | Church of England |
| Occupation | Station hand |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs. H. Haylen, 66 Oxford Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A21 Marere on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
