| Regimental number | 2317 |
| Place of birth | London, England |
| Religion | Baptist |
| Occupation | Farm hand |
| Address | c/o Mrs B Wedgewood, Kellerberrin PO, Kellerberrin, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Ballard, 5 Pretoria Cottages, Footscraig, Kent, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Light Horse Regiment |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
