| Regimental number | 1618 |
| Place of birth | Quirindi, New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Basin Creek, Wallabadah, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Height | 5' 8.5" |
| Weight | 152 lbs |
| Next of kin | Father, Mr Golland, Basin Creek, Wallabadah, New South Wales |
| Enlistment date | |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous details | Address incorrectly recorded on Embarkation Roll and Attestation Form as Dashing Creek. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
