| Regimental number | 1058 |
| Place of birth | Ballarat Vic |
| Religion | Methodist |
| Occupation | Boot packer |
| Address | 24 Nicholson Street, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, W C Horman, 24 Nicholson Street, Ballarat East, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion Head-Quarters Staff |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 75 Date: |