| Regimental number | 1613 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Monteith, Murray Bridge, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. Eliza Ann Kirby, Elim Park, Willunga, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong 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
