| Regimental number | 633 |
| Place of birth | Mathoura New South Wales |
| Religion | Church of England |
| Occupation | Groom |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, 78 Keele Street, Collingwood, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Trooper |
| Unit from Nominal Roll | 9th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
