| Regimental number | 2124 |
| Place of birth | Todmorden England |
| Religion | Church of England |
| Occupation | Barman |
| Address | 36 Thompson Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs Mary Formanini, 36 Thompson Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A43 Barunga on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
