| Regimental number | 1027 |
| Place of birth | Rockhampton Queensland |
| Occupation | Labourer |
| Address | Port Curtis Road, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | W.C Ince, Port Curtis Road, Rockhampton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/7/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
