| Regimental number | 141 |
| Place of birth | Bathurst New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Campbelltown PO, Campbelltown, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Mary Jane Glen, Campbelltown PO, Campbelltown, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on |
| Regimental number from Nominal Roll | 85703 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Special Service Unit |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
